Car Show Entry Form
Show for a Cure: Register Today to Support the Alzheimer’s Association!
Attendee Information
Please fill in the required fields (indicated by *).
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
*
example@example.com
Car/Bike Information
We need some information about your car to register you for the show.
Car/Bike’s Make:
*
Car/Bike’s Model:
*
Car/Bike’s age:
*
Class Registration
*
Oldies
Domestic
Import
Motorcycle
How did you hear about the show?
Have you made a donation to the ALZ association for your entry fee? If not, email communication will follow.
*
Yes
No, please send link for donation.
By agreeing, you understand that if you have not made your donation to the Alzheimer’s Association by the day of the show you will not be able to enter the show.
*
Agree
Disagree
Disclaimer: By registering for and attending this car show, participants and attendees acknowledge and assume all risks associated with the event. The event organizers, venue, sponsors, and the Alzheimer’s Association are not responsible for any accidents, injuries, theft, damage, or loss occurring before, during, or after the event. Participants agree to follow all event rules, local laws, and safety guidelines. By attending, you also consent to any photography or videography that may be used for promotional purposes. By submitting this registration form you are agreeing to above.
*
Agree
Disagree
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