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)

ENTRY FEE:  

MEMBERSHIP:

INSURANCE:  TOTAL FEE

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

Please hit submit button only once.

Electronic registrations will not be accepted after 9:00PM Wednesday before the race.  Please print out the following Confirmation Page and bring it with you to the race.