Rally Race Payment Form
Make sure to fill out the registration form before purchasing races. If more than one racer, please fill in
Participant
*
First Name
Last Name
2nd Participant (if applicable)
First Name
Last Name
3rd Participant (if applicable)
First Name
Last Name
Parent/Guardian Name
*
Parent/Guardian E-mail
*
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Race Entry Fee
$35.00
$
35.00
For each racer select the quantity below. Price per race. If more than 1 racer in your family, there will be a $5 discount per sibling. Please make sure to only select this option for same family racers. Thank you
Quantity
Price
Only 1 Racer
1
2
3
4
5
6
7
8
9
10
$35.00
$
35.00
2nd Racer
1
2
3
4
5
6
7
8
9
10
$30.00
$
30.00
3rd Racer
1
2
3
4
5
6
7
8
9
10
$30.00
$
30.00
Item subtotal:
$0.00
$
0.00
Total
$0.00
$
0.00
Credit Card
Submit
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