2025 Membership Application

2025 Membership Application
Full Membership - $85.00 (includes one (1) Alternate Handler) (Club dues only. USAC dues are separate) 1st Alternate Handler is FREE with full membership - must fill out 2nd page with alternate handler's full infoAdditional Alternate Handler Membership - $25.00 (Club dues only. USAC dues are separate) -Must fill out 2nd page with alternate handler's full informationMCQMRC Lifetime Member - No MCQMRC Fee required (For on track activity a USAC Membership is Required)
Renewing Full Members Only: Membership dues must be paid in full by 2/28/2025 to avoid a $75.00 late renewal penalty. Only those Members paid in full by the November membership meeting will be permitted to run for office and/or vote in the Election of Officers for the following year. Returning members are responsible for ALL fundraisers, meetings, and work details prior to formally renewing their membership in a calendar year.
Membership Obligations

Mandatory Club Fundraising: Club Lottery Tickets & Banquet Donation

Mandatory Work Detail: Track Clean Up/Prep Days & 'Weekly Work Detail'

Race Day Committee

MEMBER'S NAME*

First NameLast Name
Member Cell*
Please enter a valid phone number.
Member Email*
example@example.com
Would you like to add your cell and email to the Members Only Contact List?*

YesNo
Member Occupation
Member Birthday

MonthDayYear
Date
SPOUSE'S NAME

First NameLast Name
Spouse Cell
Please enter a valid phone number.
Spouse Email
example@example.com
Would you like to add your cell and email to the Members Only Contact List?*

YesNo
Spouse Occupation
Spouse Birthday

MonthDayYear
Date
Member Address*

ADDRESS

Street Address Line 2

CITYSTATE

ZIP
Have you ever been or still are a member of another Quarter Midget Track?*

YesNo
If so, are/were you in good standing?

YesNo

Signature(s) of Agreement
As a full member of MCQMRC, I will attend work details, perform committee duties, and complete other scheduled jobs for the dates I am assigned. I am responsible to perform my duties as required; if I am not able to work on the dates assigned, I am responsible for finding a member to fulfill my duties. Failure to do so will place me and my family as ‘members in bad standing’ and possible suspension and/or fined. I will participate in the mandatory club fundraisers. I will abide by all club and USAC (Nascar Youth Series) rules and regulations.
Member Signature*

Clear
DATE*

MonthDayYear
Date
Spouse Signature

Clear
DATE

MonthDayYear
Date

Payment Information

Membership Fees can be paid with Cash, Check (made payable to MCQMRC), or Credit Card.
How would you like to pay your Membership Dues this year?*

CashCheckCredit Card

Credit Card

Full MembershipIncludes Member, Spouse, Drivers, and 1 Alternate Handler

$85.00

MCQMRC Lifetime Member

$ Free

Additional Alternate HandlerFull Membership includes 1 Alternate Handler - each additional is $25

$25.00 Quantity

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Driver Information