2026 Membership Registration Form
Membership Valid until December 31st, 2026
Membership bags must be picked up by December 11th in the Speedway Office. Members will receive an email when bags are ready for pickup (Approx. March 2026)
Parent/Guardian Info
Parent/Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
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Member Info
Members Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
Date
Favorite Driver
*
I, the parent/guardian of the above-named child, consent by payment to their participation in the Kids Club. I understand that I may receive email updates regarding club activities and events.
*
I understand
If adding more than one member, please click and fill out a section for each member
*Please note that one membership must be purchased for each member being enrolled*
Members Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Favorite Driver
I, the parent/guardian of the above-named child, consent by payment to their participation in the Kids Club. I understand that I may receive email updates regarding club activities and events.
I understand
Members Name
First Name
Last Name
Birthday
-
Month
-
Day
Year
Date
Favorite Driver
I, the parent/guardian of the above-named child, consent by payment to their participation in the Kids Club. I understand that I may receive email updates regarding club activities and events.
I understand
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My Products
*
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Kids Club Membership
Valid January 1, 2026 to December 31, 2026
$
30.00
Quantity
1
2
3
Credit Card
Thank you for joining the Kids Club! We can't wait to share the excitement again with you this year! Don't forget to visit the kids club page at www.williamsgrove.com/kidsclub
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