AUGUST 26-27, 2022
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PRE-REGISTRATION is open
Download Pre-Registration Form
$25 Pre-Register
$40 Day of Show
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Email
*
Phone Number
*
MAKE
*
MODEL
*
YEAR
*
SIZE OF T-SHIRT (INCLUDED in Pre-Registration Price)
*
SMALL
MEDIUM
LARGE
XL
XXL
XXXL
Additional T-SHIRT (Optional: $10, OR $20 DAY OF SHOW)
*
N/A
SMALL
MEDIUM
LARGE
XL
XXL
XXXL
Pre-Registration via Mail
*
$25.00: Mail Pre-Registration Payment
$35.00: Mail Pre-Registration Payment + Additional Shirt
$40.00: Registration Day of Show
$60.00: Registration Day of Show + Additional Shirt
mail payments to: Tim Brubaker 687 Monte Vista Dr. Emmett, ID 83617 If paying via PayPal please select this in the drop down. (It is the last item on the list.)
TERMS & CONDITIONS
*
YES, I ACCEPT TERMS & CONDITIONS
TERMS AND CONDITIONS In consideration for the acceptance for the right to participate, all entrants, by acceptance of this form, shall indemnify and save harmless Timmy B's Mobile Jukebox, Cactus Petes Resort Casino and The Horseshu Casino from and against any liability claims, demands, cost, expenses, property damage, personal injuries (including attorney's fees) and cause of action of any kind arising out of or connected in whole or part with participants/entrants use of occupancy of premises designed for the car show or any act omission of entrant, or entrant's partner, agents, employees, customers, invitees, contractors or sub-contractors in connection with such use or occupancy. I further relinquish all and any rights to photography, images, videos or other electronic devices for the use of advertising, marketing and promotions of Timmy B's Mobile Jukebox.
Comment (Optional)
*
Submit Registration
Home
Pre-register
Schedule
Pin-Up Girl Contest
Hotel
Vendors
Sponsors
About
FAQ
Contact