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Let's Rally for Kids

2026 Registration Form

Prefer to print, fill out, and mail this form?

Hotel Registration (two names per hotel registration)

Province

Your Car Rally Selections and Preferences

Choice of Division

Rescue envelopes are available for all rally segments and both divisions – you will make it to the end!

Preferred a.m. Start-time (not guaranteed, first come/first serve, dependent on final route)

Please note that event details including start-times may change without notice due to e.g. the venue, number of cars, etc.

Vehicle Occupants and Dinner Seating

As requested, we will seat friends at another table(s) close to you.  Please list the full name of one person at that table(s)

1. In your car?
Yes
No
1. At your table?
Yes
No
2. In your car?
Yes
No
2. At your table?
Yes
No
3. In your car?
Yes
No
3. At your table?
Yes
No
4. In your car?
Yes
No
4. At your table?
Yes
No
5. In your car?
Yes
No
5. At your table?
Yes
No
6. In your car?
Yes
No
6. At your table?
Yes
No
7. In your car?
Yes
No
7. At your table?
Yes
No
8. In your car?
Yes
No
8. At your table?
Yes
No

Payment

Registration payment is required by electronic fund transfer (EFT) to dbreuls8@gmail.com or by cheque payable to Annual Car Rally and sent to:

D. Breuls, 3 Kudu Court, P.O. Box 148, Apsley, ON  K0L 1A0. 


WHILE WE WANT TO ACCOMMODATE AS MANY GUESTS AS POSSIBLE, WE WILL CONFIRM YOUR REGISTRATION WITH YOU BEFORE WE TAKE YOUR PAYMENT.


ABSOLUTELY NO REFUNDS ONCE THE HOTEL CONFIRMATIONS HAVE BEEN SENT AS WE ARE LIABLE FOR ALL COSTS AT THIS POINT.

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