EmailMe Form - American Rally-Cross LLc. Will Call Paddock Pass

Unique ID

Name *

First Last

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Are you going to Spectate? *

Yes

No

Select Passs type *

Name of your Group ? *

Names in your Group ?

DoNOT include yourself

If you are named above.

Name 2
Name 3
Name 4
Name 5
Name 6
Name 7
Name 8
Name 9
Name 10

Number of Wristbands
Include yourself here. *

13 and over Pay
Under 13 Free
Camping per car

I understand any Persons in the group of the age of 17 or younger are considered MINORS in all HOT areas of the paddock *

yes

Paddock Rules

• Every person must sign a waiver to enter the Paddock.
• Any person under age of 18 is considered a minor when in the Paddock.
• Children under the age of 15 must be accompanied by a Parent at all times.
• Only Crew persons will be allowed inside the paddock garage.
• All proceeds will benefit Rally F.A.S.T. Stroke Awareness Campaign.
• I understand the statement above Your wristband will be your tax deductible receipt.

Once you submit you will be forwarded to the Payment site, please select number of wristbands for 13 and over at $10 each
when you arrive stop ant the shack, Sign the track Waiver, enter the tunnel then you will be directed to the gate, Your group name(s) will be on the list. for AmRC get your Wristband before you enter the paddock gate please present this receipt it will be emailed to you save your ID# and if not contact me at info@americanrally-cross.com thank you. AmRC

• I understand and accept the above Rules *

Yes

Survey:

Will you be joining us for the awards ceremony At Murphy's Loft Restaurant/Bar/Motel
after the event
www.murphysloft.com

Yes

No

Maybe