Corvette Cleveland Event Registration


EVENT

ENTRANT INFORMATION

First NameLast Name
Address 
 City      State     ZIP 
Phone Number 
Email Address 
Club Name       Membership Number 

Whom do you wish to notify in case of emergency? (Leave blank if a member of your club at the event will act as your contact person.)
Name  Relationship    Phone 

VEHICLE INFORMATION

Year  Make  Model 
Color  License Plate    Mileage  

Class Normally Entered In

Car Number - You will receive a reply email shortly after registering with a confirmation of your car number.
   Note to NORA/ASCC/SCCA members - our timing is number based, not class/number, so number requests will try to be given, but most likely they are already reserved.  Every effort will be made to find a "close" number.  Thanks for your understanding!
If you need assistance in which class you think you should be in, use these resources.  A final decision will be made at the event.
Corvette Classification:
NCCC Rulebook		 Non-Corvette Classification -We know classifying Corvettes, so we'll leave it to you to class your car, if you do not know what class you'd be in, try some of these references:
 SCCA Class Reference Guide (2006)
 SCCA Rulebook -pg154 (shows 170 in .pdf) is Classes
 Modifications & SCCA Class
   
Rated HP  DisplacementTrans. TypeDrive Axle Ratio
Tire Brand    Tire Type
Front Size    Rear Size 

PAYMENT OPTIONS:
Pay at Event with Cash/Check - $25.00 for NCCC Members, $35.00 for Non-NCCC Members
Pay now with PayPal - You will have the option to pay with PayPal at the next screen.  There is a $1.00 service charge for this type of payment.

NOTES: 1. All entrants MUST completely and truthfully fill out the registration form. All entrants eighteen (18) years and older MUST also sign the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT and any other release documents which may be required by NCCC. Entrants younger than eighteen (18) years old must have a parent or legal guardian present and submit a properly completed PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT and a MINOR’S ASSUMPTION OF RISK ACKNOWLEDGMENT and any other release documents which may be required by NCCC. 2. All drivers MUST be properly licensed per section 1.7.1. (Eligibility to Compete) of the NCCC Rulebook.

I agree - - I acknowledge that I will abide by all of the rules of NCCC, included in it’s rulebook. I also acknowledge that I will not partake of any alcoholic beverage, per NCCC rules, until the end of the event, as proclaimed by the event chairperson.

How did you find out about the event?
I am a CC Member
My Club Newsletter
Corvette Forum
Other  

Click here to submit entry: