High School Racing / Middle School Registration

Athlete Name*
First Last
Date of Birth*
Month
Day
Year
Athlete Email*
Enter Email Confirm Email
Athlete's School
Year In School

Example 8th, Fr, So, Jr, Sr
Choose your sessions
- Sept 1 - Nov 13 Wed 3:45-5:45 & Saturday 9:30-11:30AM $525
- Nov 20 - Dec 18 Saturday 9:30 - 11:30 AM $195
- Jan 8 - Feb 26 Sat 9:30 - 11:30 AM $195
- Mar 2 - May 28 Wed 3:45-5:54 & Sat 9:30 - 11:30AM
Note days and times for each session as they vary through the year.
Multiple House Holds*
- Yes
- No
Primary Parent / Guardian Name*
First Last
Primary Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Primary Parent Email*
Enter Email Confirm Email
Secondary Parent / Guardian Name
First Last
Secondary Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Emergency Contact*
Name Phone Number

Phone numbers and order in which we should try to call in an emergency.

Name	Phone Number