2019 BBQ Registration Form

Please fill out the form below

 

Contact Name *
Contact Name
Phone *
Phone
Class *
Please select which class you would like to compete in.
Division *
Payment Method *
Checks should be made payable to the Potter Lions Club and sent to PO Box 67, Potter, NE 69156 Strict Registration Deadline of June 19th, 2019
By checking Yes below, You accept responsibility for your equipment and yourself, you release from liability the Village of Potter, Lions Club, and the Car Show organizers and agree to abide by all rules and regulations. *
You will be required to sign a waiver at event registration.