Beachcomers Corvette Club and Custom Classic Corvette Club
Benefit Car show
The Family of Elijah Clayton
Little three year old Elijah Clayton severely injured in a fall accident which left him paralyzed to the left side of his body. Currently going thru extensive physical therapy at CHKD
Car, Truck & Motorcycle Show Open to all makes, models and years of cars, trucks and motorcycles
Hosted By Dream Southern Cuisine
Saturday Oct 29, 2011: Time: 9:00 AM to 3:00 PM Location: Dream Restaurant 3376 South Military Hwy VA 23323
Registration Fee is $20. Awards at 2:30 PM. Participants Choice Judging will result in over 25 Awards (Best Car-Truck-Motorcycles). Raffles, 50/50 Raffle Prizes, Dash Plaques for all Participants. Food will be provided by Dream Southern Cuisine Deep Creek
SCHEDULE OF EVENTS Registration / Open: 9:00 AM -1130 AM
Judging: 12:00 PM-1:00 PMAwards: 2:00 PM-2:30 PM
Contact Information: Herbert Mumford (757) 753-4976 or George Smith (757) 717-7149 ———————————————Registration Form ————————————————–
Name:________________________________________ Club Affiliation:______________________
Address:__________________________Email:________________________________
City: ____________________________ State:____________ __________ Zip:________________ Vehicle:______________________Year:__________Model:______________Color:__________
By signing below you and your guests release Beachcombers and Custom Classic Corvette Club, Dream Southern Cuisine and other parties connected with this event from the responsibility of any liability, damage or injury to persons or property before during and after the event. Participants assume all risks and are responsible for their own actions as well as their guests’. No burnouts, reckless driving, alcohol, drugs, loud music, foul language, or lewd behavior will be tolerated. All forms must be signed in order to process your registration!
Signature:________________________________________________ Date:______________