High School Racing / Middle School Registration

Athlete Name*
First Last
Date of Birth*
MM
DD
YYYY
Athlete Email*
Enter Email Confirm Email
Athlete's School
Year In School
Example 8th, Fr, So, Jr, Sr
Program*
Optional Days
- Tuesday/ Thursday (OPTIONAL) 3:45-6 PM
In the Fall our Racing Team trains Monday, Wednesday, Friday from 3:45 - 6:00 pm, and Saturday 7 am - 10 am. You can opt to train additionally on Tuesday and Thursday also from 3:45-6 PM. If you think this option is a good fit for you please click below. We will talk to you in person when the program begins.
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.
Cost
The Cost of the Racing Team is $325 a month. Carol will be in touch with details as registration is processed and before the program begins.

Name	Phone Number