Colo. Outlaw Racing Assoc. (CRA)

2012 Registration Form (after 2/1/2012)

Modified $ 115.00  Stock Car $ 115.00  Dwarf $ 115.00  1200 Outlaws $ 100.00  High Plains Midget $ 100.00   Hobby Truck $ 100.00   Hornet $ 75.00   1200 Outlaws/H.P.M.  $ 150.00    (fees listed are for after 2/1/2012 deadline)

Car #:  1st Choice_____________2nd Choice  ______________3rd Choice________________

Driver: (Please Print Legibly) :_________________________________________________________________________

Social Security number: _______-_____-_______    Date of Birth: ________/________/________

Address: _____________________________________________City, State, Zip: _______________________________

Home #: (____)__________________ Work #: (____)___________________E-mail _____________________________

Signature__________________________________________________________________________________________

Owner: (If same as driver just mark "Same")

Name /Company Name:_______________________________________________________________________________

SSN/Fed ID: ___________________________________________     Date of Birth: __________/_________/_________

Address: _______________________________________________City, State, Zip: ______________________________

Home #:(___)_______________________Work #:(____)________________________Email_______________________

Signature___________________________________________________________________________________________

Sponsors: Main (for program):__________________________________________________________________________

Other:______________________________________________________________________________________________

I will abide by the rules of C.R.A. as listed in the 2012 rulebook for this racing season.  I will not hold C.R.A., its promoter, El Paso County, or any track officials responsible for any physical injury or damage to my vehicle (s). I understand a breathalyzer test may be required at any time.  I understand refusal to take the test or failure of the breathalyzer test will result in disqualification with no pay or points.

____________________________________________     ________________________________________________

(Participant)                                                                               (Promoter)

Make check/money order payable to C.R.A. 18245 E. Hwy. 94 Colo. Springs, CO 80930

Home | Contact Us | Calendar | Directions | Divisions | News | Photo Gallery | Advertise With Us

Copyright © 2007-2012 - Colorado Outlaw Racing Assoc. LLC.  All Rights Reserved.