________ _______
(Do not fill in)-> Class Car No.

"Brits on the Bay"

20th Annual PENSACOLA BRITISH CAR SHOW

April 21st, 2012

Show Registration:
  • REGISTRATION FEE $20 if received by April 20, 2012.
  • Registration Fee $25 Friday night (4/20) and Day of Show.
  • Additional cars/bikes: $10.00. [Please use a separate form for each additional car.]
  • Your car number will be used for the door prize drawing. If you want to take a chance on the raffle prizes displayed, you may purchase tickets from ticket vendors. 50/50 tickets will also be available.
    Name (Last,First, MI) Email
    Address
    City/State/Zip
    Telephone number
    Email (used for NOTHING other than show info)
    Car/Bike: Year Model: Color:

    I am aware of the hazards inherent with motor vehicle events and specifically release and do indemnify the organizers, supporting sponsors, and the Panhandle British Car Association,Inc., collectively and separately, from any and all liability from personal injury or property damage incurred by me or my guests while participating in the Pensacola British Car Show. I understand and agree that the Panhandle British Car Association, Inc., reserves the right to revoke my registration and retain my registration fee should I engage in reckless, dangerous, and/or unsafe behavior.

    I HAVE READ, UNDERSTAND, AND AGREE TO THIS RELEASE.

    Signature______________________________________________Date_________________________

    Mail completed registration form with check to:
  • Tom Schmitz, PBCA Treasurer
  • 9609 Soldiers Creek Drive
  • Lillian, AL 36549
    PBCA is an Affiliate of The North American MGB Register.