Mosport Karting Centre » ARRIVE & DRIVE RACING LEAGUE

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Personal Information
Name*
First Last
Driver's Name*
Email*
Address*
Street Address Address Line 2 City Province Postal Code
Phone #1*
Phone #2
Date of Birth*
MM slash DD slash YYYY
Weight (lbs.)*
Age*
Emergency Contact
Full Name*
Phone*
Karting History
Member Since (Year)
Racing Schedule Number*
(View last year schedule for reference)
Amount
Price:
Consent
Parent / Guardian’s Name
Members under 18 years of age must have their parent or guardian to fill out this application.
Agreement*
I/We agree to respect Mosport Karting Centre Inc. and understand membership to Mosport Karting Centre racing league(s) is granted as a privilege to members who participate within the rules set forth in the Rules and Regulations.
Payment Method
Choose the Payment Method*
Total
Total payable amount
HST 13%
Price: $ 0.00 CAD
Coupon
Total including HST
$ 0.00 CAD

"*" indicates required fields

ARRIVE & DRIVE RACING LEAGUE – AUTOSHOW