W2R Car Show Registration

An Annual Our PLACE Fundraising Event
Kick'N Car Show Registration

Thank you for participating in the 2025 Kick'N Car Show, an Our PLACE fundraising event. The beneficiaries of this annual event are the families and caregivers who struggle daily with the many aspects of dementia. Your participation in this event will help Our PLACE to continue providing "Moments of Joy" to so many individuals.

October 4th – Lenoir City Park – 9 A.M. to 1 P.M.
Your Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Please enter a valid phone number.
E-mail*
Car Year*
ex: 1955
Car Make*
ex: Corvette
Car Model*
ex: Convertible
Car Color*
ex: Gypsy Red
One of the following two registration choices MUST be selected.
prevnext( X )
Car Show Registration
$20.00

Car Show Registration w/Tee Shirt(You must select a Tee Shirt size below.)
$30.00

Total

$0.00
If you selected the Car Show Registration w/Tee Shirt, you MUST make a size selection below.

SmallMediumLargeX-Large2X-Large
NOTE: If you have questions regarding the car show, contact Brandi Johnson (865) 657-7222‬.

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.