Parent/Guardian Name *

First Name

Last Name

Phone

(###)

###

####

Racer's Name *

First Name

Last Name

Age group for registration:

U6

U8

U10

U12

U14

U16+

What program are you interested in?

UltraLite - 1 day per week (U6 & U8 only)

Lite - 2 days per week

Full - 3 days per week

Whatever is available!