2021 Registration Form

Please mail your  along with your check to Kathy Massey, 450 West 400 South, Lafayette, In 47909. 

Make check payable to Lafayette Kroozers. 

Email questions about registration to kath4828@comcast.net or phone 765-474-081 0

Early registration ends 07/23/2021 Cost is $18.00. This includes the event T-Shirt.
July 24th or later registration is $20.00. Does not include the event T-Shirt.
Registration Saturday July 30st  8am-11am 

Cruise-in Friday evening 5pm-9pm. Car Show Saturday 8am-3pm. 

Both events held at Market Square shopping center Elmwood Avenue, Lafayette, IN.
 

NAME__________________________________________________________________ 

ADDRESS_______________________________________________________________

EMAIL___________________________________________________________________ PHONE____________________________________________

Please circle size S M L XL $1.00 more for 2X or 3X

Please print this page.  Control P or File print.  

Please mail to address listed above.  Registration Form 2021