Concours Form
Please print and mail with payment to
Jo Ligas
9000 65th Street N
Pinellas Park, FL 33782
Best way to print is to copy and paste the form
Back
~ Dan Ligas Memorial Jag Fest ~
Concours d' Elegance entries are open to all Jaguar owners. Entries in Champion Division and Driven Division classes are judged according to JCNA rules approved for the current year. Display Division is open to all Jaguars. Rules require that your entry is a Jaguar with a Jaguar engine.
Your Name: _____________________________________________________________________________________
Address: ___________________________________ City: ___________________________ State: _____ Zip: ________________
Home Phone: (_______) _______________________ Moble: (_______) _______________________
E-mail: _______________________________________________________________
JCNA Member Number _______________ Club Affiliation:_____________________________________________________
Description of Automobile (s)
Year: _______ Model: ___________________ Color: ___________________ Class: Ch./Dr.__________________
Display Only: Year: _________ Model: ___________________ Color: ___________________
Friday 30 Sep 2011 Reception; Attending: yes________ no ________ #__________
_______ Champion/Driven car (s) @ $50.00 each = $ ___________________ Are you eligible to be a judge:
_______ 2nd + Entry @ $40.00 each = $ ___________________ Yes ___________
_______ Display Only @ $25.00 each = $ ___________________ No ____________
_______ Banquet Tickets @ $60.00 each = $ ___________________ Total: $ _______________________
Banquet Selection
_________ Almond & Herb Crusted Salmon with Wilted Greens & Buerre Rouge, ________ Roast Breast of Chicken stuffed with Herb Mousseline & Apple Jus,
________ Roast Prime Rib with Au Jus, ________ or Vegetarian Plate
Release of Liability
It is an entrant's privilege to participate in a JCNA sanctioned event held by any JCNA affiliate upon executing proper registration forms and paying published entrance fees. I hereby agree to enter the above described Jaguar (s) in the 2011 Concours d 'Elegance by the Sun Coast Jaguar Club. In consideration of the right and privilege to participate in this event, and other valuable consideration, and intending to be any and all liability for injuries, damage or loss arising from my entry and attendance at the Concours.
__________________________________________ ________________________
Signature of Jaguar Owner Date