Forms
PLAZA PARK RACEWAY, LLC.
2012 MICRO-SPRINT and JUNIOR MEMBERSHIP
DRIVER INFORMATION (1 FORM PER MEMBER PER CLASS)
NAME:________________________________ CDL#_____________________
MAILING ADDRESS:_____________________________PHONE:____________
CITY:___________________ST:_____ZIP:_________EMAIL:_______________
AGE:______DOB:_____________WINNINGS PAID TO:____________________
SS# OF PERSON RECEIVING WINNINGS:__________________________________
CAR INFORMATION
CLASS:_________________ENGINE:___________CAR#________YEAR:__________
CHASSIS:___________________________CAR OWNER:_________________________
WE MUST HAVE AN ANNUAL MINOR’S RELEASE FORM FOR ANY PERSON UNDER 18 YEARS OLD THAT ENTERS THE RESTRICTED PIT AREA (DRIVER OR CREWMAN) BEFORE PARTICIPATING IN AN EVENT WITH PLAZA PARK RACING ASSOCIATION, INC.
SPONSORS:
CAR # GOES TO MEMBER WHO REGISTERED FIRST. PITS ARE ON A FIRST REQUEST BASIS. IF YOU HAD A RESERVED PIT LAST YEAR, YOU WILL HAVE THE OPTION TO RENEW IF COMPLETED FORM & FEES ARE RECEIVED BEFORE FEBRUARY 15, 2012
MEMBERSHIP FEES
DRIVER ————————————————————————$50.00_________
OPTIONAL ANNUAL RESERVED PIT(ON BACK)
PIT #’S 1-9, 48-52, 54-55-PIT #____________ $80.00________
ALL OTHERS—————-PIT #_____________$60.00_________
TOTAL ENCLOSED: $________________
ENTRY FEES:
DRIVER (MEMBER)-$45.00 DRIVER (NON-MEMBER)-$55.00
PIT PASS(NON-DRIVER)-$20.00
YOU DO NOT HAVE TO BE A MEMBER TO GET PAID, BUT YOU MUST BE A MEMBER TO RECEIVE POINTS!!
RECV. BY: ______________ DATE: _____________
PLEASE MAIL COMPLETED FORM WITH CHECK PAYABLE TO:
PLAZA PARK RACEWAY, LLC
1820 W. LACEY BLVD., #283
HANFORD, CA 93230
