Online Registration

We'd like to announce our on-line registration is open on September 1st.

Name *

First

Last

Cell Phone Number

Vehicle's Make *

Vehicle's Model *

Vehicle's Color *

Vehicle's Year *

Email *

*Liability Clause: By execution of this registration form, you release and discharge Clay County Cruzers and their Officers, and (Sponsor), or anyone connected with the presentation of this show from any and all known damage, injury, losses, judgments, and/or claims from any cause whatsoever that may be suffered by any vendor, entrant or participant to person or property. This car show event is sponsored by Clay County Cruzers, Inc. which is solely responsible for its fulfillment. Names and logos are used by permission. Clay County Cruzers is the benefitting organization.

Signature

Clear Signature

Don't forget to pay by Credit or Debit card below!

Order Information

Please select ONLY ONE item below

I'm Pre Registering by October 31st - $20.00
I'm registering AFTER October31st - $25.00

Total Amount

$0.00

Your Credit or Debit Card Info *

Card

Name on Card

Confirmation *

I acknowledge that upon submitting this form, my orders are final and can no longer be canceled