FRRC Kid's Club Membership Registration Form

Club Membership Registration

Complete the form below to sign up for the FRRC Kids Club
Child's Name*

First NameLast Name
Child's Birth Date:*

MonthDayYear
Parent's Name*

First NameLast Name
E-mail*
Phone Number:*

Area CodePhone Number
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Who is your child's favorite driver/race team?
Permission*

I hereby grant the FRRC Kids Club to use my child's photograph and digital reproduction in any publication, including but not limited to websites, posters, advertising, promotion and video without payment or any consideration.
Should be Empty: