Please fill out Registration form to help expedite your registration process.
Driver Name:
:
State:
Address.
City:
Zip:
Phone:
E-Mail:
Emergency Contact:
Emergency Phone:
Allergies:
Health Insurance Provider:
Race Class: (Member $60.00)
Transponder Rental: $10.00 each.
Additional Pit Passes: $10.00 each.
(Includes one pit pass)
Additional Class: $45.00 each.
Kart Numbers:
Have your own transponder, please enter number.
Transponder Number:.
Race Class (Non-Member $75.00)
(Includes One Pit Pass)
Thank you for your support.
Apt:
Note: Classes dependent upon kart count, minimum 4 Karts in class for trophy's.
Arizona Championship Registration Fee: ($25.00)
Please fill out registration form and if you wish to pay by credit card you may prepay.
If you intend to prepay you must submit registration first than add shopping cart.
PRE-REGISTRATION WILL CLOSE AT 11:00 AM ON THE 12TH.
