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Pumpkin Race 2017 - October 14, 2017
Driver Registration Form
SCQMA
Pumpkin Race
Pueblo, CO 81008
Please complete one form per driver.
$25.00/Car
Format: Heat/Main
Payment will be made at the event.
Dinner is a potluck with main dish provided by SCQMA families, Please bring a side dish of some type to share (salad, soups, apps, dessert)
Please see our webpage for more info on this event
Parent's Email
*
Driver's Name
*
First
Last
Classes (maximum of 4)
Novice
Jr. Animal
Sr./UR Animal
Jr. Honda
Sr. Honda
Mod
160
Jr. Stock
World Formula
Modified World
*Payment to be made at the event.
Phone Number
###
-
###
-
####
Additional children in family for treat bags:
select one
one
two
three
four
five
Questions? Please submit any questions here and we'll get back to you before the event.
Dinner Options: (please include all extra family members on one form)
Hamburger
Please select
one
two
three
four
five
six
zero
Cheeseburgere
Please select
one
two
three
four
five
six
zero
Hot Dog
Please select
one
two
three
four
five
six
zero
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