2nd Annual Cruising For Kids Card N Cruize

***PLEASE NOTE***

PASSENGER PARTICIPATION IS OPTIONAL

IF YOU WOULD LIKE TO PLAY A POKER HAND AS A PASSENGER YOU MUST REGISTER BELOW AND PAY AT THE TIME FORM IS SUBMITTED! PASSENGER #1 WILL BE FRONT SEAT PASSENGER, PASSENGER #2 AND PASSENGER #3 WILL BE FOR REAR SEAT PASSENGERS. AGAIN, IT IS OPTIONAL FOR PASSENGERS TO PLAY. YOU ARE STILL WELCOME TO RIDE ALONG JUST FOR FUN.

Driver Name*

First NameLast Name

Passenger #1 Name

First NameLast Name

Passenger #2 Name

First NameLast Name

Passenger #3 Name

First NameLast Name

Driver's Address*

Street Address

Street Address Line 2

CityState

Zip Code

Email*

example@example.com

Phone Number (Person Registering)*

Please enter a valid phone number.

Emergency Contact (NOT PARTICIPATING IN EVENT)*

First NameLast Name

Relationship Of Emergency Contact *

Emergency Contact Phone Number*

Please enter a valid phone number.

I agree that by signing this waiver, I am of my own free will participating in this event. I will NOT hold Cruising For Kids, Freedom Cruisers National, Freedom Cruisers Chapter 143, Axehole/Friction Skating Rink or anyone associated with any of these groups/businesses accountable/responsible for any damage, theft or injury to me or any personal property I may have with me at time of event.

I agree that I am accepting responsibility for any passengers in my vehicle while participating in this event. They will NOT hold Cruising For Kids, Freedom Cruisers National, Freedom Cruisers Chapter 143, Axehole/Friction Skating Rink or anyone associated with any of these groups/businesses accountable/responsible for any damage, theft or injury to them or any personal property.

I also agree that I/We will abide by all laws of the highway while supporting this event. Any laws broken, incidents/accidents while on the road shall not fall back on any of previous mentioned businesses/groups. I/We acknowledge that I/We must have all of my/our playing cards (except the last one which I/we will get upon return to Axehole/Friction Skating Rink) and be back on the property of Axehole/Friction Skating Rink by 1pm in order to be eligible for the prize money.

By signing this document, I understand that if I do not attend the event on October 20, 2024, any funds for pre-registration are non-refundable and will go directly to the charity.

Driver Signature*

Registration Fees

Driver Registration Fee

$25.00 Quantity
Item subtotal:$0.00

Passenger Registration Fee To pay for passengers click the box to the left of Passenger Registration Fee (it will turn black with a check mark) and then choose number of passengers participating in the dropdown below to pay for passengers.

$20.00 Number Of Passengers
Item subtotal:$0.00

Total

$0.00

Payment Methods

Credit Card

Cash App Pay

2nd Annual Cruising For Kids Card N Cruize Event

Payment Methods