Easton EMS Vehicle Registration Form

Easton EMS Vehicle Registration Form

Registration is $20 payable online or at entrance
Full Name

First NameLast NameSuffix
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
E-mail

Confirmation Email
Vehicle Type
For show cars please arrive between 9am and 10am

Motorcycles should arrive by 10am, ride will leave at 11am
Year
Make
Model
Will you need trailer space?
There will be limited trailer parking available
T-shirt size
By checking below I hereby consent to allow my picture or likeness, and those of any vehicle entered, to appear in any official document, news release, sponsor advertisement, website (including social media), and/or television and radio coverage of the events within or as part of the Easton EMS car show and Charity Motorcycle ride, and grant permission to use and/or publish photographic portraits, pictures, or video of me or my vehicles for advertising and fund raising purposes for Easton EMS.
Should be Empty: