Entrant Application Form

Please scroll down to complete online form below.

Please complete the online application form below or download the application form and submit it via email, fax or mail.

Click here to download the 2023 Entrant Application Form

Entrant Information
Owner's Name*
First Last
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Primary Phone*
Home Phone
Mobile Phone
Business Phone
Fax
Vehicle Information
If you have more than one car to nominate, please submit an additional form. Thank you for your interest and support.
Please select one:*
- Pre-War Classic American and European Automobiles 1900-1942; Classic Car Club of America Senior Award status or similar achievement preferred.
- 1900-1942 Preservation and or Touring Class; Classic Car Club of American Grand Classics preferred
- Post-War (1946-1972) Award winning European and American Sports, Touring and Racing class. Rare, low production and or AACA senior award status or similar achievement preferred
Model Year*
Manufacturer*
Model*
Exterior Type and Color*
Interior*
Motorcar Serial #
Wood Type
Interesting Details*
Engine (type, number of cylinders, displacement, horse power)*
History(owners,restoration)*
Awards and Shows*
Upload Image - This is preferred but optional. If you don't include an image, we will be in contact via email.
Accepted file types: jpg, jpeg, gif, png, Max. file size: 5 MB.
Allowed file extensions: jpg, jpeg, gif, png
Maximum file size: 5MB
Welcome Reception
Will you be attending the Welcome Reception on Friday, September 22nd at 6:00 PM?*
- Yes
- No
Number of people attending the Welcome Reception?*
Agreement
The undersigned, desiring to show his/her motorcar at the St. Michaels Concours d' Elegance September 22-24, 2023, does hereby release Kent Island Yacht Club, and, The St Michaels Concours d’ Elegance, all sponsors and their representatives, from any and all liability arising from said event.*
- I Agree
Comments
This field is for validation purposes and should be left unchanged.

Entrant Application Form

Entrant Information

Vehicle Information

Welcome Reception

Agreement