1st Annual Car Show Fundraiser Registration Form

Participant Information

Vehicle Information

How did you hear about our car show?

FacebookWebsiteFlyerFriendOther

Payment Information

Payment Note: Entry fee is $25 per vehicle. Please make checks payable to Children’s Justice & Advocacy Center.

Release & Waiver

I hereby release and hold harmless the Children’s Justice & Advocacy Center, event organizers, sponsors, volunteers, and the City of Longview from any and all liability for any injury, damage, or loss that may occur to me, my guests, or my property while participating in this event.

I have read and agree to the Release & Waiver.