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

"Brits on the Bay"

21st Annual PENSACOLA BRITISH CAR SHOW

April 20th, 2013

Show Registration:
  • REGISTRATION FEE $20 if received by April 19, 2013.
  • Registration Fee $25 Day of Show.
  • Additional cars/bikes: $10.00. --->[Please use a separate form for each additional car.]
    Name (Last,First, MI)
    Address
    City/State/Zip
    Telephone number
    Email (only for show info)
    Car/Bike Year: Marque: Model: Color:

    Will you be attending the Friday Tours?____

    Will you be attending the Friday night welcome party?____ How many persons?____

    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.