DIRECTIONS:

- Please complete all required fields(*) and then press the "Submit" button.

- Upon submitting an entry form, a confirmation page will be displayed which will display the amount to be paid. Verify the amount and press the "PAY NOW" button.

- PRE-REGISTRATION IS NOT COMPLETE UNTIL PAYMENT HAS BEEN RECEIVED.

- To complete the registration, the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, ASN-CANADA-FIA INC. form for this event must be signed at the event.

Event Information:

*Select Event:



*Race Option:

Full Weekend ($380 single race weekend, $550 double race weekend)
Single Day ($380)

Stock Road Race Only ($100 single race weekend, $200 double race weekend)
Single Day Stock Road Race Only ($100 single race weekend)

Second Driver Registration

Entrant Information:

*Last Name:

*First Name:

*E-mail Address:

*Address:

*City:

*Prov/State:

*Postal/Zip Code:

*Telephone #:

Club Affiliation:

*Race License #:

Sanctioning Body (if not ARMS):

Results Listing:

Only list first name and last initial in published results.

Automobile Information:

*Make:

*Model:

*Year:

Engine Size:

Drive Train:

Tire Make/Model/Size:

Competitor Information:

Car #:

Shared Vehicle?:

Class:

I declare that I am aware of the Vehicle Classification rules and the information given is true and complete to the best of my knowledge. It is understood and agreed that the undersigned and the car described above are to participate / compete under the provisions of the appropriate sections of the current ARMS Handbook and the event's Supplementary Regulations. The Entrant agrees to ensure that he/she, the driver, the owner,and all crew members understand and sign the waiver for this event. This entry is not valid unless the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, ASN-CANADA-FIA INC. form for this event has been signed by all registered herein (driver, owner, and all crew members).

Copyright © 2012 MMSC. All Rights Reserved.