Register and Create a Driver Donation Page

First name
Last Name
Phone Number
Car Year
Car Make
Car Model
Club Affiliation   Unaffiiliated
  BMW Club
  Porsche Club
  Mini Club
 Other Car Club:
Rally/Race Against Kids' Cancer Dinner
Would you and your co-pilot(s) like to stay for dinner?
I understand the dinner is $25 per person, please contact me regarding payment.
Number of Attendees:
Mailing Address - Street
Mailing Address - City
Mailing Address - State
Mailing Address - Zip
Country, if not US:
Fundraising Goal
Each participant is encouraged to raise $500

Rally YES! I will join you for the Rally Against Kids' Cancer
Desired Site Name