2nd Annual
Corvettes @ the
Colvilles
Saturday: June 17th 2017
Official 2017 Corvette Registration Form
REGISTRATION:
All Information must be filled out, waiver signed, proof of insurance, and non-refundable
$20 registration payment (per space)
must be included with application. No power is supplied. Self-serve car wash area with hose
will be provided @ no charge.
DEADLINE: Pre-Register TODAY to receive the SWAG BAG
with Goodies!
Registration Form, Proof of Insurance, and Payment must be received in-house by May 17th,
2017 to qualify for SWAG BAG.
Registration ‘Day of’ from 7a until 12n.
EVENT: Parade through Downtown Omak @ 10a |
Corvette Show Immediately following @ 12Tribes | Awards @ 5p
Registrant:
Name:
Address:
City, State, Zip:
Phone:
Email Address:
Please Choose One Class:
C1 -
C2 -
C3 -
C4 -
C5 -
C6 -
C7 -
Owner:
Car Year:
Club Affiliation:
28968 Hwy 97 | Omak WA 98841 | Group Sales - Lovee: 509.422.8532 or Jill: 509.422.8513
2nd Annual
Corvettes @ the
Colvilles
Saturday: June 17th 2017
WAIVER:
Official 2017 Corvette Registration Form
12 Tribes Resort Casino reserves the right to refuse any Corvette/Harley registration; should this
occur the application fee will be refunded. Any Registrant Not Holding Valid Auto Insurance
exhibits at their own risk and assumes all Liability including the below rules & regulations.
Registrant must initial & date they have read, understand & are in agreement to such
notation:
INITIAL: ________________DATE: _________________
IN CONSIDERATION of your accepting this entry,
I HEREBY ASSUME FULL AND COMPLETE RESPONSIBILITY FOR ANY PERSONAL INJURY AND/OR PROPERTY
DAMAGE THAT I SUSTAIN OR CAUSE DURING MY PARTICIPATION IN THIS EVENT. In addition, I/we jointly and
severally, and intending to legally bind ourselves, our heirs, executors, and administrators, do hereby waive, release,
and discharge the following: The 12 Tribes Resort & Casino, the cities and counties of event venues, the owners and
managers of any public and/or private sports, recreation or other facility used for the 12 Tribes Resort & Casino
events, all 12 Tribes Resort & Casino sponsors, all 12 Tribes Resort & Casinos members, staff, and volunteers;
individual coaches, instructors, supervisors, or supervising or coordinating organizations, and all of the above
members, agents, employees, representatives, successors, and assigns from any and all liability, and for claims,
including those arising from negligence, and/or claims for illness, injuries, and damages that may arise directly or
indirectly as a result of participation in any 12 Tribes Resort & Casino event, or of participant’s practice for any 12
Tribes Resort & Casino event, or of participants travel to and/or from event venues. I will additionally permit the use
of my name and pictures in broadcasts, telecasts, newspapers, brochures, etc. I agree by signing that I will be
responsible for my own safety. I acknowledge that activities may be hazardous and result in loss, personal injury
(including death) or property damage and I hereby release Colville Gaming, LLC and its representatives from
any liability whatsoever. I also certify that I have proof of insurance for each vehicle I use in this event, including
the parade inside City of Omak city limits, to the full extent as required by law. Proof of Automobile Insurance
is required to participate in the Corvettes at the Colvilles event. I certify all information provided in this form is true
and complete.
Registrant has read and understands the Application and Rules & Regulations, and will abide
by them throughout their association with the 12 Tribes Resort & Casino. It is understood that
the 12 Tribes Resort & Casino reserves the right to close, without refund, any participant not
complying with these regulations.
Print Name__________________________________________________
Signature____________________________________________
Date____________________
Proof of Insurance Attached Y / N
____________
DEADLINE: Pre-Registration for Corvettes @ the Colvilles {& Harley’s} event and payment must
be received by May 17th, 2017
to qualify for the Swag Bag. NOTE: Swag Bag is limited to availability on hand; First reserved,
first served.
Checklist for complete Application Package:
Complete and Sign Application, enclose proof of insurance & check payment for non-
refundable registration fee
Payable to: 12 Tribes Resort Casino
Mail Application Package to:
12 Tribes Resort & Casino | Attn: Group Sales | 28968 Hwy 97 |
Omak, WA 98841
28968 Hwy 97 | Omak WA 98841 | Group Sales - Lovee: 509.422.8532 or Jill: 509.422.8513
2nd Annual
Corvettes @ the
Colvilles
Saturday: June 17th 2017
GENERAL
Official 2017 Corvette Registration Form
INFO:
Registration Information & Requirements: Kindly read carefully
Each space is @ $20 per space. No electricity offered. Payment & proof of insurance is due with
application.
Application deadline is May 17, 2017. Your pre-registration fee includes parking assistance,
registration, swag bag*, dash plaque, & opportunity to vote & participate @ the awards show.
Kindly be sure to include your Club Affiliation, Car Year, & Class on your registration form.
Anyone not pre-registered must check in between on day of event between 6a-12n.
All vehicles must be parked by 12n in the show area provided by 12 Tribes.
The event requires all registrants remain parked until 6p please.
To prevent accident or injury, any registrant wishing to depart early MUST notify Group Sales three
days prior to the event. With permission, vehicles will be allowed to depart prior to 6p, but a
Security Escort is required from 12Tribes. NOTE: The Awards Presentation begins @ 5p.
The registrant is responsible for leaving their space in the condition originally received. Kindly
remove all debris, boxes, and trash from your assigned area.
Upon receipt of each completed & paid registration form, each applicant will receive a confirmation
letter & map w/ directions prior to event.
This event occurs rain or shine! Be prepared for wind, heat, etc.
All registrant fees are non-refundable and non-transferable.
All vendors are required to show proof of liability insurance, read, & sign the waiver provided.
12 Tribes Resort Casino will provide a valet parking area for all registered guests staying overnight
@ our resort. We ask you park your car directly within the overnight valet space provided and
secure it according to your signed waiver. NOTE: Surveillance will be posted.
We look forward to welcoming you to 12 Tribes Resort Casino for another
successful event!
Kindest regards
Group Sales & Catering Division
Lovee Eldridge & Jill Scott
28968 Hwy 97 | Omak WA 98841 | Group Sales - Lovee: 509.422.8532 or Jill: 509.422.8513