Eliminators Car Club | Annual Car Show | Pre-Register on-line | Riverside Run August 19 - 21, 2011

Eliminators Riverside Run registration form
for the August 16-18, 2019 run.
Open to all special interest vehicles.

PLEASE NOTE
• applicants under 19 years of age are required to have a parent or guardian sign a waiver
- if you are under 19, please use the printable form.

Payment must be received to validate this application.
You will be directed to the PayPay payment page upon submitting the completed form below.

Prices - up to July 31st - $30 per vehicle with up to two adults and up to two children (family members) under age 16. Entry fee includes goodie bag and 2 adults for supper. After July 31st, price is $40 per vehicle.

are you 19 or older? By checking this box I submit that I am 19 years of age or older.

Vehicle Year, Make, Model etc.

Participant first and last name

Address full mailing address, including province/state and postal/zip code

Spouse or guest (optional) first and last name

distance traveled cut the above web link and paste into new browser window to calculate distance

units Kilometers Miles

miles or KM

Phone number

Email Address

Verify your Email

Club Affiliation (optional)

Children attending (optional) first & last name and age of each family member under 16 - each on a separate line please

Extra Adults limit of 2 per registration @ $15 each - provide names on separate lines please

Number attending Use the pull down menu to select how many in your party, including yourself, will be having supper.

Terms and Conditions Applicant hereby attests that applicant is 19 years of age or older, and assumes any and all responsibilities for injury or damage caused by himself or any member of his party while participating in ELIMINATORS RIVESDE RUN and does release from liability for any such injury or damage, Eliminators Car Club and its members.