To register, enter your name, address, telephone number(s), and e-mail address. Then click the Continue button.

DEADLINE TO REGISTER ONLINE: 12:00 am Sunday, September 13, 2009

DEADLINE TO REGISTER BY MAIL:
Friday, September 4, 2009
 
If registering by mail, please complete and print out pages 1 & 2 and enclose check payable to: Children's Bureau. Mail to: Mighty Rubber Ducky Derby, 50 S. Anaheim Blvd. Suite 241, Anaheim, CA 92805.
 
Prices
Car Show Only (includes 1 duck and 1 park admission) $30
Additional Ducks (includes 1 park admission per duck) $10
VID Reception Adult (includes Car Show, 4 ducks and 1 park admission) $90
VID Reception Child ages 5 - 12 (2 ducks and 1 park admission) children under 5 free with paying adult $30
Car Show T-Shirt $15
 
IMPORTANT: This page is for registering for the CAR SHOW.
 
*Required fields are indicated with an asterisk.
Title*
First Name*
Middle Initial
Last Name*
Street*
City*
State*
Zip Code*
Day Phone #*
Evening Phone #
E-mail Address*

How did you find out about this event?

Previous Participant
A relative / friend told me
I work for one of the sponsors     (which one)
I saw an ad on ABC 7
I saw an ad on Cox
I saw an ad in the PennySaver
I picked up a form from elvistech.com
I picked up an entry form      (please list location)
Other      (please state how)

Photos and videos of previous Just Ducky Car Shows courtesy of
Joaquin Carter, Frank Aguilar, and Dave Lindsey.
Copyright © 2010 by Children's Bureau of Southern California.
Website design and hosting by Pierpoint-Martin