Cruise 11 FORM                         

          CRUISE 11 ON SEPTEMBER 9, 2012

CENTRAL PARK-DOWNTOWN DECATUR   

 September 9, 2012 Registration Form      

Dash Plaque & Goodie Bag for first 100 Pre-Registered Vehicles

*This event is a fundraiser for the American Legion Post 105 Veterans Christmas Gift Program and other Veterans needs.*Call Ayn (217) 791-1385 or email This email address is being protected from spambots. You need JavaScript enabled to view it. for questions  Car/Bike Show @ Central Park(The Blues Brothers Tribute @ 3pm) 9-11 Memorial Service at 4pm. Fill out this form, sign and return it, along with your payment of $11.00, to Cruise 11.  This registration form & payment must be post marked by September 4, 2012 to have your packet at the gate; drive in registrations will be accepted.  Please fill out a separate form for each vehicle & send one check with total payment.  Your registration packet will be at the PRE-registration table beginning at 11 am.  You will be emailed a confirmation packet number or you will receive packet number by phone. There will be a pre-registration table on the stage and a day of registration on the west side of Central Park.

Official Cruise -yellow ribbons given and registration will be near Central Park Stage

Registration Information                                                    Entry Information

 

Name:                                                                                                  Year:                                                               

 

Phone:                                                                                                  Make:                                                             

 

Address:                                                                                               Model:                                                            

 

                                                                                                            Miles traveled to show?                                   

           

Email:  ____________                                                                                               

 

Your entry must be post-marked by September 4, 2012 to receive your registration # or you may register at Central Park beginning at10 am.   Parking is on a first-come, first-serve basis at Central Park. 

Unique trophies will be awarded:  First responders choices

Special thanks to Pepsi and Dynagraphics

 

Waiver & Agreement Form

The undersigned hereby agrees to indemnify and hold harmless Ayn Owens, AYN Productions, City of Decatur, Cruise 11 Committee & Staff and all sponsors of the Cruise 11 Event, their agents, officers, members, or employees, for any and all liability arising out of the participation in the Cruise 11 event, including but not limited to injury or damage to any person or property.  I have read, understand and agree to the above.

 

 Name:                                                                                                                        

 

Signature:                                                                                                                    

 

Date:                                          Cell Phone # ______________________________

2012 Cruise 11  Information

11:00am  Car & Bike Show Registration

$11 TO ENTER

1:00pm 11-Mile Yellow ribbon Memorial Cruise:Central Park toWest Main to Decatur Conference Center and back

2:30pm  Judging of Cars & Bikes-Judges are first responders and Veterans

3:00pm Blues Brothers Tribute Show

4:00pm  9-11 Memorial Service

Awards for Show

                ALLPROCEEDS TO VETERANS CAUSES

FOR MORE INFO:  Ayn Owens  (217)791-1385

Mail form to Cruise 11 777 W Prairie Ste 201 Decatur, IL  62522

This email address is being protected from spambots. You need JavaScript enabled to view it.

CAR CLASSES

Autos pre 1950

Autos 1950-1969

Autos 1970-1989

Street Rods

Autos 1990 & Newer

BIKE CLASSES

Motorcycle Special Interest

Motorcycle Sport

Motorcycle Custom

Motorcycle Touring

Motorcycle Cruiser

$82 (1-4 people) flat rate at DecaturConferenceCenter   (217) 422-8800 mention Cruise 11

 

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