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Colo.
Outlaw Racing Assoc. (CRA) 2013
Registration Form (late
fee included) |
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Northern SportMod $ 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/HPM $ 150.00
Car
#:
1st Choice_____________ 2nd Choice ______________
3rd Choice________________
Driver: (Please Print Legibly)
Social Security number: _______-_____-_______ Date of Birth: ______/______/______
Driver Name: __________________________________________________________________
Address: _________________________________________City, State, Zip: _______________________________
Home #: (____)_______________ Work #: (____)_________________E-mail ______________________________
Signature_________________________________________________________________________________
Owner: (If same as driver just mark "Same")
SSN/Fed ID: ________________________ Date of Birth: ________/_______/_______
Name /Company Name:__________________________________________________________
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 2013 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)