* Denotes the field is required
* Name
* Address
* City* Prov./State* Postal Code
Phone#* Email
* Year * Make* Model
ModifiedStock
Club Affiliation
I hereby release the Saltspring Cruisers, School District 64 and all other sponsors and organizers from any and all liabilitry for injury and damage in connection with this event. I further certify that all vehicles being shown or owned by myself at the show are covered by vehicle liability insurance.
* Signature
To complete your registration please e-Transfer the Registration Fee of $20 to webmaster@saltspringcruisers.com
Please note this form sends the results via your default email app. Please make sure you send the email after you submit.
