Captain Scott's: Alice on The Mother Road
Please provide contact information. Captain Scott will contact you directly to help finalize your travel. Please be sure to also visit and register officially for the 35th Annual FUN RUN the full itinerary - complete this form first.
Full Name
First Name
Last Name
License Plate #
Guests
Will you be carpooling with others? If so, how many people.
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Emergency Contact
Name, Phone Number
Select which dates you would like to attend:
Day 1 - 05/03/2024 (Seligman / St. Francis Church)
Day 2 - 05/04/2024 (Kingman Visitor Center)
Day 3 - 05/05/2024 (Kingman/Topock Shores Community Center )
ALL - Route 66
Describe your vehicle:
Make, Model, Other Specifications
Are there any other details you would like to share?
Ex. Any Questions, your stay accommodations, health alerts, i.e. etc.
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Download the Official Fun Run 2024 Itinerary here. (Allow pop-ups on your Browser).
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