Field of Dreams - Registration Form

Field of Dreams - Registration Form
FOR OFFICE USE ONLY
Cash___________________
Antique and Classic Boats for Sale
Charge_________________
42nd Annual Lake Winnipesaukee NEC-ACBS Boat Show
July 25, 2015 - 9AM - 2 PM
Check__________________
DATE__________________
PRE-REGISTRATION IS RECOMMENDED
Are You an ACBS Member
Yes
No
Years attended show ___________
First Time at show
ACBS# _______________________ Chapter Affiliation___________________________________________________________
BOAT OWNER’S NAME _____________________________________________________________________________
STREET __________________________________ CITY ____________________ STATE _______ZIP______________
PHONE _______________________________________ EMAIL____________________________________________
CREW (List additional crew for name badges) _________________________________________________________
BOAT NAME _________________________________________ YEAR_________LENGTH______________________
BOAT BUILDER_________________________________MODEL____________________________________________
ENGINE __________________________________ CYL. _________ HP ___________ENGINE YEAR______________
Antique and Classic Boats will be displayed on land in Hesky Park. Each registration includes space for one boat
and trailer, one table, and chairs. No tents allowed in Hesky Park.
Member
Fee
EVENT
Non- Member
Fee
Number
Attending
Late Fee
for any registration
received after
July 1, 2015
$ 20
TOTAL
Field of Dreams Antique/Classic Boat $100
$110
Friday Cocktail Reception
$15
$20
$
Saturday Awards & BBQ
$45
$50
$
Saturday Awards & BBQ
Children 12 and under
$10 $15
TOTAL
$
$
$
Please sign:
INSURANCE AND LIABILITY WAIVER
I certify that I am an entrant/exhibitor in the 42ndt Annual Lake Winnipesaukee Boat Show at Meredith, NH taking place on July 25, 2015 sponsored by the
New England Chapter of the Antique & Classic Boat Society (ACBS). Further, I certify that I have effective insurance to cover any damage to my boat and
to cover my liability for any damages to others, or their property, arising from any use of my boat during this event. I agree to hold harmless the ACBS, the
officers and volunteers of the New England Chapter of the ACBS, and all other sponsors of this event, their employees, agents, and volunteer assistants
for any injury or loss resulted, directly or indirectly, and from any and all actions, claims, liabilities, and assertions of liability which in any manner arise from
any and all activities connected directly or proximately with the Boat Show listed above.
Signature _________________________________________________Date _____________________
Send registration form and check payable to:
NEC-ACBS, PO Box 1466, Wolfeboro, NH 03894
Space is limited - Same day registration is only possible if there is room for your boat.
Pre-registration is recommended.
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