First Name *

Last Name *

Phone *

Email *

Year, Make, and Model of the car you are entering *

Once you submit this form you will be taken to the payment platform, the cost is $25 to enter. Select "Give Once" and then "Love Life Show and Shine Car Show" from the dropdown menu to complete your registration.

Register by October 12th and you will receive 5 extra raffle tickets at the door!

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