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Let’s Rally for Kids

2025 Registration 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. 


Full payment must be received no later than August 15, 2025, however space is limited.  First come, first served.


Agreement

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