NORTH GEORGIA JAGUAR CLUB 2015 Concours d'Elegance Chattahoochee Country Club October 11, 2015 3000 Club Drive Gainesville, Georgia 30506 REGISTRATION FORM Due by : September 26, 2015 Entries received after Sept. 26 will be accepted for Display only Name __________________________________________ JCNA Member No. _________ Address __________________________________________ __________________________________________ City ________________________________ State _________ Zip _________ Phone No. ________________________________ Email ___________________________ ________________________________ This is an officially sanctioned JCNA event and JCNA rules will be followed. Owner/Lessee must be present for car to be judged. There will be Champion, Driven, Special and Display-Only Divisions. Information on rules and entrant instructions can be found at www.jcna.com (Concours tab). The fee for advance reservations is $55 for the Champion, Driven and Special Divisions . Fee for additional Jaguars is $10 per car. The advance registration fee for Display Only cars is $40. Please note that two brunches (a $52 value) are included in the registration fee of the first vehicle registered due to sponsorship by Hennessy Jaguar. Additional brunches for family and guests may be purchased for $26 each (order below in Fees section) The registration fee for Non-JCNA members is $90 for Champion or Driven Divisions and $70 for Display Only. ** Please note that registrations for any judged category must be received on or before September 26th.** JAGUAR(S): Model _____________________ Year ________ Color _____________ Division __________ Model _____________________ Year ________ Color _____________ Division __________ Model _____________________ Year ________ Color _____________ Division __________ Model _____________________ Year ________ Color _____________ Division __________ Release of Liability: I hereby agree to enter the above described Jaguar(s) in North Georgia Jaguar Club Concours d'Elegance on October 11, 2015. In consideration of the right and privilege to enter and participate and other valuable consideration, and intending to be legally bound, I agree to release the Jaguar Clubs of North America, Inc., North Georgia Jaguar Club, Inc., its members and officers, and the Chattahoochee Country Club from any and all liability for injuries, damage, or loss arising from my entry in and attendance at the Concours. Signed : ____________________________________________________ Date : ________________________ We are also having our annual Saturday night reception, 6:30 PM, at Luna’s Restaurant. The reception is $25.00 per person and includes heavy Hors D'Oeuvres, wine, beer and soft drinks. A brunch (sponsored by Hennessy Jaguar) will be available to entrants and North Georgia Jaguar Club & JCNA members at the Chattahoochee Country Club (CCC).