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2012 Enduro Registration Form
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Submitted by admin   
August 10, 2009

  

Solomon Valley Raceway Enduro

150 Laps or 1.5 Hours

Entry Fee - $25

Entry fee covers driver's pit pass

(Starting position will be determined by pill draw at pit gate)

Please bring registration form to race filled out or mail it to the address below

Solomon Valley Raceway

                                                            PO Box 34

                                                            Beloit  KS  67420

CAR & DRIVER REGISTRATION FORM

PLEASE PRINT CLEARLY

 

DRIVER NAME______________________________________________________

 

ADDRESS___________________________________________________________

 

CITY___________________________________ STATE_____ ZIP CODE_________

 

HOME PHONE (_____)_______________ CELL PHONE (_____)________________

 

In case of emergency, please provide contact name and phone number:

 

________________________________________PHONE#____________________

 

EMAIL:_____________________________________________________________

 

CAR NUMBER: CHOICE #1: ________ CHOICE #2: ________CHOICE #3:________

 

SCOREKEEPER NAME:_________________________________________________

 

You are agreeing that you and your crew will abide by, and will follow the rules and instructions from Solomon Valley Raceway, their staff and officials during this event.  Solomon Valley Raceway officials will enforce the rules of this event to the best of their ability.  You, the driver, are responsible for all taxes, fees and assignments and are solely responsible for reporting any winnings.  You are agreeing not to hold Solomon Valley Raceway responsible for any accidents or damage during this event.

 

Driver/Owner Signature _____________________________________ Date________________

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For Official Use: Car Number Assigned __________ Entry Fee Paid $_________Date_________

Last Updated ( August 24, 2012 )
 
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