Cruisin' for a Cure Canada Registration Form

** DEADLINE FOR ADVANCE REGISTRATION WAS MIDNIGHT, SEPTEMBER 7, 2018 **

          ** WE WILL NOT PROCESS ANY APPLICATIONS SUBMITTED TODAY **

Please register at the show on Sunday, September 9, 2018 starting at 8:30 a.m. through to 12:30 p.m.

Remember gates open at 7:30 so you can detail your vehicle.

See you there!

Please enter numbers only, e.g. 9055551212

If you are a prostate cancer survivor and if you preorder by August 15, we will ensure that you receive a special blue SURVIVOR T-shirt at no charge. Otherwise, they will be available on September 14, but only as long as supplies last.

If you're a survivor, enter size for your free t-shirt above.

For all others, white collector-quality show T-Shirts are $20 each (XXXL - $22 each), on site, or by sending a cheque with the mail in registration

By clicking on the "Register" button, below, I agree to indemnify and hold harmless Prostate Cancer Canada Network Brampton Inc., Dynacare-Gamma Laboratory Partnership and Powerade Centre and their officers, agents, servants, directors, employees or volunteers against all liability of loss or damages that the participant and/or family, relatives, or guests may sustain or incur as a result of claims, costs, or judgments arising from the participants involvements in the Cruisin' For a Cure Canada show.  Participant(s) acknowledges he/she/they have liability insurance as required by the Province of Ontario Motor Vehicles Act. Participant(s) acknowledges his/her/their images and vehicles may appear in video and/or still photographs taken at the event and may be used to promote future Cruisin’ for a Cure Canada car shows.