REGISTRATION - MOG 45 - Morgan Car Club of Washington D.C.

Registration – MOG 45
June 19-21, 2015
The Eisenhower Complex
2634 Emmitsburg Rd, Gettysburg, PA 17325 (717)-334-8121
Toll Free Reservations: 1-800-776-8349
Make reservations directly with the Hotel (say you are with “The Morgan Club”)
Free on-site parking for trailers
BRITISH MORGANS INVADE GETTYSBURG
EVENTS & SCHEDULE:
June 19 – Friday
June 20 – Saturday
June 21– Sunday
Registration
Meet & Greet
Noggin’
Concours*
Gymkhana
Rallye
Noggin’
Autocross
Banquet
Noggin’
*featured Marque Flat Rad
REGISTRATIONS:
Driver:
Others in Party:
Companion:
Address:
Phone:
Morgan Cars coming to the event:
Year / Model
Body Style
eMail:
Color(s)
(Int./Ext.)
Serial #
Registration:
Member Registration* (2 people, all events, 2 banquet dinners)
Member Registration* (1 person, all events, 1 banquet dinner)
Add’l Adult(s)
Single Day Registration (1 person/2 events/No Banquet)
Before May 25
$230 ______
$160 ______
$75 _____
$95 _____
State & License #
After May 25
$250 ______
$180 ______
$100 ______
$110 ______
*Registration includes: Poster, Concours, Rallye, Gymkhana, Autocross, Lunch (at the Autocross),
Friday/Saturday/Sunday Night Noggins and Banquet
Banquet Meal Choices:
____Fish
____Chicken
______Beef
I would like to help with:
(contact Jay Gift: 717-264-3790)
Make checks payable to MCCDC (No credit cards)
Send form and check to:
MCCDC c/o Marline Riehle
P.O. Box 539, Nokesville, VA 20182
703-594-2054
riehleme@verizon.net
_____Special meals on Request
ALL PARTICIPANTS MUST SIGN
WAIVER, INDEMNIFICATON AND RELEASE OF LIABILITY
TO THE 45th ANNUAL MORGAN OWNERS GATHERING:
I do hereby, for myself, my heirs, executors and assigns, release and forever discharge, and agree to
indemnify and hold harmless the Morgan Car Club of Washington, DC thereof, and their respective
directors, officers, meet coordinator(s) and all tour and meet staff, of and from any and all claims,
demands, obligations, causes of action and lawsuits and all damages, at “The 45th Annual Morgan Owners
Gathering” including all planned meals and activities incidental to the event, including any claim or
demand for injury of any person, or damage to property, including, specifically , such as may arise out of
or be alleged to arise out of the negligence of the Morgan Car Club of Washington, DC thereof, and all
their respective directors, officers, meet coordinator(s) and tour and meet staff. I have read THIS
WAIVER, INDEMNIFICATION AND RELEASE and fully understand its provisions and further understand that
no officer, director or meet staff person is authorized to vary its terms, or provisions, or to make any
representations contrary to the provisions thereof.
I acknowledge and agree that any vehicle I enter in the 45th Annual Morgan Owners Gathering, as well as
any vehicle used to tow an entry to the display or events areas, will be covered by current, personal
automobile insurance that meets the requirements of the State in which it is registered.
Print Name: ______________________________________________________
SIGNATURE: ______________________________________________
DATE: ___________________________________________________
Print Name: ______________________________________________________
SIGNATURE: ______________________________________________
DATE: ___________________________________________________