Racer First Name (required)

Last Name(required)

Your Email (required)

Coach Name

Age Class
U12 racers may opt-up to compete as U14’s.

The “U” designation denotes your racer's age as of 12/31/2017.

Gender Class

Indicate below whether you will attend both days of the event, or only one:

Club, School, or Hill Affiliation

Date of Birth

Parent Or Guardian

Phone

Mailing Address

City

State

Mailing Zip