2014, 18th Annual Conneaut Lake Classic
Boat Show Registration
Ice House Park Docks, Conneaut Lake, PA Saturday June 21, Sunday June 22, 2014
Name: ________________________________________________________________
Address: ______________________________________________________________
City/State/Zip+4:______________________________________________
Phone: days: (____)____________ eves: (____)____________Email:___________
| Boat Name (if named) | Builder | Model / Length | Year | Home Port | Hull # | Engine & HP | State Registration No. |
List additional boats that you wish to enter on the back of this form.
Entry Fee. including on T Shirt $25.00 a Second boat $20.00 Land display $10.00
No for sale signs on any boats, (One on the dock OK bring tape no nails)and land display boats, but an additional fee of $10.00 must be paid.
An 8' X 8' area to set up a table to sell items. $25.00
Remit in U.S. currency. / U.S. Bank Make checks payable to Allegheny Chapter A.C.B.S.
Mail your completed registration form and check to:
Frank Miklosl 419 Big Knob Road l Rochester, PA 15074-2659
If you have any questions call (724) 775-4849.
"My signature below on this entry form indicates that I, for myself, my executors, administrators and assigns, do hereby release and discharge Allegheny Chapter A.C.B.S. & the A.C.B.S., The town of Conneaut Lake , and any affiliates, their respective employees, directors, officers, representatives, and all persons involved in the sponsorship or conduct of Allegheny Chapter's Boat Show Committee, from all claims, demands, or causes of action of participants in this show. Further, the undersigned, for him/herself, executers, administers an assigns, do hereby agree to indemnify the town of Conneaut Lake, from any damages or losses, including reasonable attorney fees, arising out of the conduct, operation, or participation in Conneaut Lake Classic Boat Show as held in or on the property, easements, or public ways of Conneaut Lake. PA"
Signature:________________________________________________________________________ Date:_________________________________
Please print this form complete it, and mail it to the address shown above.