23 Rd Annual Florida Chapter NCRS Regional Meet at Disney World

40th Annual Florida Chapter NCRS Regional Meet at “ Sun N Fun “ January 10-13th, 2018 - Lakeland, Florida Preferred method to register is the NCRS on line system to insure accuracy and timely recording of judging results, judging selection and judging points. Incomplete on line registrations must be corrected or will be dropped. Contact NCRS Helpdesk for computer entry problems. Official Registration Form: Note: You must be a current NCRS member to participate in this meet. Name:______Spouse/guest:______NCRS# ______Address:______City/State/Zip: ______Home Tel: ______Work Tel: ______Fax# ______Email: ______Participant Registration: Pre-registration at event Family Package @$75.00 $95.00 (2 adult & Children) $______Guest Package @$30.00 $40. Saturday Awards Banquet ______@$56.00 per person (register now or never for banquet) $______Awards: receive at Banquet or pay Mail out fee for unclaimed awards ____@ $56.00ea. or receive at the banquet.$______Vendor Spaces Manual registration by mail only for vendors (see Tyler Townsley info below) 10x20 $70ea, 10x30 $75 ea (Call for inside space info) #______Size______$______

For sale corral: Corral space may be purchased at meet on a first come basis. Regional Judging Entry – 8 car class limits apply - Pre-registration required, Register on line if possible. ____ Flight Judging I am also a Bowtie candidate (Yes / No) ______@ $75.00 $______Performance Verification (proof of 3rd flight or higher required w/this registration) @ $75.00 $______PV cars must have current registration & tag to operate legally on road course. ____ Sportsman (evening removal from show field if needed, car must be driven to event ) @ $20.00 $______Display on show field: Duntov ___ McClellan ___ Bowtie ___ American Heritage ___ Founders Op Check ___ $___N/C__ Other special display on show field ___ space permitting @$20.00 $______Car Info: Model Yr ______Complete VIN # ______Coupe ___ / Conv ___ Ext Color ______Int Color ______Int Fabric: Standard ___ / Leather ___ HP ______‘63-97 Per Trim Tag/Service ID Label: Paint Code: ____ Trim Code _____ Build Date _____ Body Number (’63-’67) _____ Insurance & owner registration : Complete insurance information and car registration is required for on line or mail in. Proof of insurance must be provided with registration, verification will be performed before judging at the meet. Awards: receive at Banquet or pay Mail out fee for unclaimed awards ____@ $56.00ea. or receive at the banquet.$______Secure Trailer parking - begins Wednesday (10th) 12:00PM to Sunday(14th) $50.00 ea.- Single Car Trailer fee- Double Trailer Fee $75.00 $______Judging Teams: (Note: judging teams will be selected by National Team Leaders based upon registrations received by December 20, 2015) I would like to be considered for judging team - indicate only one 1st & one 2nd choice (1 and 2) Judging level: ____ T-shirt size:______53-55 ____ 56-57 ____ 58-60 ____ 61-62 ____ 63-64 ____ 65 ____ 66 ____ 67SB ____ 67BB ____ 68-69 ____ 70-72 ____ 73-82 ____ 84-89 ____ 90-96 ____ 97____Tab: Fri:____ Sat:____ Note: Divisions tentative, final divisions/judging day will be based upon Flight Judging entries. Check if needed: ___ please see reverse side for second judge candidate information Advanced Judging Seminar: Fri ___ Sat___ (only one please) pre-registration only Judging School- Thursday 1 hour session ______Event Merchandise: 6 color event t-shirt ______@ $17.00 size______$______6 color event sweat shirt ______@ $22.00 size______$______6 color child shirt ______@ $11.00 size______$______Premium Polo ______@ $32.00 size______$______Embroidered golf cap ______@ $13.00 $______NCRS Membership:National dues @ $46.00 USA ( new members only) Florida Chapter dues $10.00 $______Per NCRS Guidelines: non registered members attending the meet can be asked to vacate NCRS activity areas. Please wear your badge!! If everyone pays a little through registrations NCRS activities stays affordable for all. Make checks payable to: Florida Chapter NCRS, Inc. Total enclosed $______Mail to: Tyler Townsley, PO Box 208 Nichols, FL 33863 Email: [email protected] 863-428-1410 Vendor registration questions Deadline postmark 12/20/201 7 After Dec20, 2017 you may only register on-site at event; a late registration fee will be charged. No car/judging entries accepted after Dec 20, 2017. Phone, email, etc. will not reserve a car judging entry space. Cancellations : Meet and/or Judging Registration cancellations must be received in writing on or before Dec. 20, 2017 and will be subject to a $25.00 service charge. There will be no refunds for cancellations received after Dec.20th, 2017 unless documented family emergency. Hold harmless agreement: I agree to provide insurance on my vehicles and property against loss, damage and liability and to provide proof of insurance to NCRS. I agree to assume all risk of any damage and injury and to indemnify and hold harmless NCRS, its officers, agents, employees and chapter for any acts or omissions which may result in theft, damage or destruction of my property or injury to me or to others during or as a consequence of this meet. Current proof of insurance must be presented. Signature______Date ______Insurance Company______Policy #______Exp. Date ______Event Chairman: Ed Augustine: e-mail:[email protected] (identify Winter Regional in subject line when contacting us) Judging: John “Coach” Bucheister- [email protected] Judging questions- Judging assignments are selected by National Teamleaders. Meet Registration: Online meet registration questions [email protected]. ONLINE NCRS Registration is strongly suggested. Vendor registration – Tyler Townsley- [email protected] 863-428-1410-PO Box 208, Nichols, Fl 33963 Anyone requiring special accommodations for disability related items must contact us to be sure we can accommodate. Handicap parking, cart rentals and rest rooms will be provided. Fly in guests will need to contact Lakeland Linder Regional Airport for coordinates and landing instructions or go to Sun N Fun event web site.