Nightkruise Registration

SUNDAY NOVEMBER 7TH

VICTORY CHRYSLER DODGE JEEP RAM
1720 N 100TH TERRACE KANSAS CITY, KS 66111
Registration cost is $30 per vehicle with a toy donation required the day of the event.
Preregister by Oct 13th and an event t-shirt and sticker will be included
After Oct 13th, the event price remains the same but you will not get the t-shirt and sticker that is included with preregistration.
For every $20 in toy value that you donate on the day of the event, you will get a sheet of 25 raffle tickets.
Items must be picked up at the event, and after the pre-registration deadline orders become final.

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Phone Number *

Email *

Emergency Contact: Name and Phone Number *

Drivers Item *

Select to order other swag item

Drivers Item Size *

Item 1 *

Select to order extra swag

Item 1 Size *

Item 2 *

Select to order extra swag

Item 2 Size *

Item 3 *

Select to order extra swag

Item 3 Size *

Item 4 *

Select to order extra swag

Item 4 Size *

Additional Stickers *

Additional Stickers are $3 each

Additional Raffle Tickets *

$20 each (25 tickets)

Name