Name	*
E-mail	*
Tel	*
Cell
Age	*
BIB #	*

Date of Race

*

* required

 Sled Information

 Make:

Model:

     CC:

 Year:

Enter your sponsors in the space provided below:

(Add cost of each class entered)

YEARLY MBRSHIP  18+  LIONS MBRSHIP $100                                

 

18 UNDER TRACK MBRSHIP FEE $100.00                                           

 

ENTRY FEE:  

MEMBERSHIP:

TOTAL       

Signature: Leave Blank, Signature will be asked for at the pre race signup.

Please hit submit button only once.  Please print out the confirmation page that follows for proof of Electronic Registration.

• Electronic registrations will not be accepted after 12:00 Noon Friday  before the race.
• Register after established time a fee of $25.00 will be applied.
• You may also fax this registrations to 376-7966