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 10th – 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.Format: (000) 000-0000.
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.
NOTE: If you have questions regarding the car show, contact Brandi Johnson (865) 657-7222‬.

Debit or Credit Card

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