2018 Potter CarBowl Car Show Registration Form

Please fill out the form below

Don't forget to add an event shirt to your cart at check out!

 
Name *
Name
Address *
Address
City, State, Zip
Phone *
Phone
Enter "None" if not associated with a car club
Checkbox *
By checking Yes below, You accept responsibility for your vehicle and yourself, you release from liability the Village of Potter, Lions Club, and the Car Show organizers. *
You will be required to sign a waiver at event registration.
Payment Method *
Checks should be made payable to the Potter Lions Club and sent to PO Box 67, Potter, NE 69156 To take advantage of the early registration discount, you must pay online when submitting your registration. If you register online and choose to pay at the event, you will be charged the full amount of $25.