Eureka Springs, Village at Pine Mountain, Harley Davidson, Chamber Board of Directors, staff and volunteers, and/or any
REGISTRATION FORM July 28,2018 Vintage Legends Motor Cycle Show in Eureka Springs Pre-registration is $25 through July 2, 2018.; registration will be $30 thereafter. Additional Motorcycles are $25 or $30 after July 2, 2018. Please list additional Motorcycles on a separate sheet of paper.
PLEASE PRINT CLEARLY and COMPLETE ALL INFORMATION. Registration form must be complete to be processed. Name
Date
Address City
State
Email
Phone__________-__________-_________
Insurance Carrier
Policy #
License Plate # MAKE
Zip
State of License
Year of
MODEL
Color
Briefly list modifications, if any Will your Motor Cycle be judged? YES_______NO_______ If YES, judging category #1 - #13 Judging Sheet enclosed
See
LIABILITY: Entrants and participants, by signing this form, hold harmless the State of Arkansas, County of Carroll, City of Eureka Springs, Village at Pine Mountain, Harley Davidson, Chamber Board of Directors, staff and volunteers, and/or any of their agents, directors or representatives, vendors and suppliers, from known and unknown acts of harm, damages, injuries, losses and/or claims whatsoever they may suffer by any entrant to his person or property. By my signature I agree and claim I have liability insurance on my registered vehicle. -Only street legal vehicles will be allowed in the parade -In order to drive together in the parade, Motor cycles must arrive together to the line-up area
-Judges Decisions are final -All events rain or shine
Signature Please make checks payable to: Greater Eureka Springs Chamber of Commerce (GESCOC) 479-253-8737 Please return this form with payment to: GESCOC / Attn: Events -- PO Box 551 --Eureka Springs, AR 72632 Pre-registration (per Motor Cycle)
$ 25 X # of Motor Cycles
Registration, day of show
$ 30 X # of Motor Cycles ____________________= $_______________
T-shirt:
M L XL XXL XXXL (circle size)
= $_______________
$ 20 X # of shirts_____________= $_____________
$________________ TOTAL (No Refunds)
Credit Card #
Exp Date
Security Code
State
Zip
Name on Card Billing Address City
Signature
Vintage Legends Motorcycle Show Antique/Vintage motorcycles model year 1993 and older (25+ years)
Judging Categories
1. American: 1st - 3rd place awards 2. British: 1st – 3rd place awards 3. European: 1st – 3rd place awards 4. Pacific Rim Single/ Twin Cylinder: 1st – 3rd place awards 5. Pacific Rim three Cylinder+: 1st – 3rd place awards 6. Fully restored: 1st – 3rd place awards 7. Bobber Custom: 1st & 2nd place awards 8. Brat Custom: 1st & 2nd place awards 9. Chopper Custom: 1st & 2nd place awards 10. Café Custom: 1st & 2nd place awards 11. Rat Custom: 1st & 2nd place awards 12. 100cc & less: 1st & 2nd place awards 13. Scooter: 1st & 2nd place awards Awards will also be given for: Best of Show People’s Choice: $1/ vote benefiting local charity
