RIDE DAY CLINIC SIGNUP FORM

RIDE DAY SIGN UP FORM

Ready to give quarter midget racing a shot? We can't wait to show you what Langley Quarter Midget Association is all about!
🏁 OUR NEXT RIDE DAY DATE IS: 🏁

➤➤➤ Saturday, February 8, 2025.

Sign up here: ⤵️
PARENT/GUARDIAN NAME*

First NameLast Name
YOUR E-MAIL ADDRESS*
example@example.com
Phone Number*
Please enter a valid phone number.

FIRST CHILD:
YOUR DRIVER'S NAME*

First NameLast Name
YOUR DRIVER'S BIRTH DATE*

MonthDayYear
Date
DRIVER'S WEIGHT*
DRIVER'S HEIGHT (In Feet)*

SECOND CHILD:
YOUR DRIVER'S NAME

First NameLast Name
YOUR DRIVER'S BIRTH DATE

MonthDayYear
Date
DRIVER'S WEIGHT
DRIVER'S HEIGHT (In Feet)
For more information on what to expect & how to prepare, please click here:

If you have any questions, please email: secretary@lqma.ca

Lock in your Ride Day - Cost $50*

Ride Day Product Image

Ride DayOne session

$50.00CAD Quantity

Total

$0.00CAD

Credit Card

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