Track Day Registration

TRACK DAY REGISTRATION FORM 2014
(Click here for a printable format)

*** Be sure to look at the required technical inspection form

1. REGISTRATION: SEND CHECK OR MONEY ORDER or PayPal (See bottom of page)
PAYABLE TO C.A.R.T.
2. MAIL TO: JAY BODE, 32 COREY RD., NORTH HAVEN, CT 06473
3. SELECT EVENT DATE:
___ Pocono North Course $325.00 ___ Saturday August 23, 2014 INCLUDES TEAM RELAY

___ Thompson Road Course $295.00___ Saturday September 13, 2014 FULL DAY EVENT
NOTICE!!! There is a $75 surcharge if you have not Signed up & Paid for an event 2 weeks prior to the event.


IF YOU ARE INTERESTED IN MEMBERSHIP IN CART-CHECK HERE_____

NAME: _____________________________ AGE ____

ADDRESS:___________________ CITY:______________

STATE:_________ ZIP:_________ PHONE:____________

E-MAIL:_______________________________________

SHIRT SIZE L____ XL_____ XXL____

CAR:MAKE:___________________ MODEL:_________ YEAR:________

COLOR:______________SCCA AUTOCROSS SOLO 2 (IF KNOWN) :_____________

ENG.DISP:____________ CAR:STREET/RACE_______

TURBO/SUPERCHARGED_______INTERCOOLED:_______ FACTORY:Y/N________.

TIRES:RACE (NON DOT):Y/N_______ TREAD WEAR RATING_______

AREA MODIFIED:ENGINE:Y/N_______ SUSPENSION:Y/N_______

BODY/INTERIOR MODIFICATIONS:____________________________

TRACK EXPERIENCE LEVEL NONE____ SOME___ CONSIDERABLE_____

IF YOU INDICATED SOME OR CONSIDERABLE TRACK EXPERIENCE, PLEASE LIST EXPERIENCE

____________________________________________________________

HOW DID YOU FIND OUT ABOUT CART (MAGAZINE, ON LINE ETC) ____________________________________________________________

LIST ALL MODIFICATIONS ON BACK OF FORM ____________________________________
NO REFUNDS WITHIN TWO WEEKS OF THE EVENT
WE LIMIT THE EVENTS TO 50 CARS AT POCONO – FIRST COME FIRST SERVE BASIS

WILL YOU BE RUNNING IN THE TIMED PORTION OF THE EVENT? Y/N_____

ARE YOU INTERESTED IN RUNNING THE TEAM RELAY (POCONO ONLY) Y/N_____

OFFICIAL USE ONLY:

CAR NUMBER:______CLASS______PRACTICE GROUP_______FEE_____



Pocono Track Day 2014




Thompson Track Day 2014



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