Event Entry

To Enter fill in the information below and click the Enter Event button.
* - denotes required fields

Race registration fee $30.00 for the entries. Junior registration fee is $10.00 and the junior age group is 17 years of age and and under. (Check boxes for classes and events you wish to enter.) All payments are to be made in US Dollars.

Pro

Open

Women

Masters

Men & Women (minimum age to enter masters is 45 years old)

Juniors

Age 17 and under & Open

Entries $ US Total

First Name:*

Last Name:*

Address 1:

Address 2:

City:

State/Providance:*

Other:
To enter a state other than US select Other from the State/Providance list and fill in the Other field

Zip/Postal Code:

Country:*

Home Phone:

You must enter at least one phone number

Cell Phone:

Work Phone:

Email Address:*

Nick Name:

Birth Date:*

You must select Birthdate. Click on the calendar button to select a Birthdate

Sex:*

Height

Weight

Leather and Helmet
Design / Color

250 Charters Max / Charters Left

Racing Number

Parent or Guardian Name

(If rider is under the age of 18 a parent or guardian MUST be present at event)

Racing Experience

250 Charters Max / Charters Left