ProAm Desert Championships Entry Form
EMPI Triple Crown Round 3 - Door Slammer Duel
Vehicle Class
*
Unlimited (Class 1, TT, Ultra 4)
Class 6100
Class 1400 PRO
Class 10
Class 5 Unlimited
Class 12
Class 1400
Class 1600
Class 600 (Outlaw 1600)
Class 5-1600
Class 9
Class 11
Class 7200
Class 2000
Class 1900 (N/A UTV)
Class 2900 (Turbo UTV)
Class 3900 (Unlimited UTV, Pro R, Mav R,)
Class 1300 (4 Cylinder Sportsman)
Class 1350 (Unlimited Sportsman)
JSPEED 1700
JSPEED 2700
JSPEED 3700
JSPEED 4700
Race Vehicle #
*
Rear Start
Yes
No
Driver of Record Full Name
*
Must Start or Finish the race to receive championship points.
Winnings Payable To:
*
Racers who win $600 or more in 2024 will receive a 1099 tax form.
Shirt Size
*
S
M
L
XL
2X
3X
4X
The first 40 entries get a complimentary event shirt!
E-mail
*
Phone Number:
*
Include Area Code
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CoDrivers
All Drivers and CoDrivers must submit an individual 2024 Membership Form Online to receive a wristband.
Pit Crew
All "Hot Pit" crew members must individually complete the 2024 membership form online before receiving a hot pit wristband.
Pit Boss Full Name
*
Pit Boss must be in your pit the entire race.
Pit Boss Phone Number:
*
Include Area Code
Radio Frequency
Sponsors & Contingency
Please list your race sponsors here:
List all sponsors who help make your racing dreams possible!
Please list your contingency sponsors here:
*
Contingency reports are generated off in-race pictures. If the contingency sponsor sticker cannot be seen in the pictures you will not receive that companies offering.
Please upload a picture of your race vehicle:
Browse Files
Cancel
of
TECH / Registration Appointment:
TECH/Registration Appointment - Friday, Dec. 6 (3-8pm)
*
Entry Fee Payment
Cash or check are accepted at the race. Credit Cards are not accepted at the race. If you wish to pay with credit card please do so using the payment options below.
Payment Options
*
Cash or Check at TECH/Registration
Credit Card or PayPal
Entry Fee
$1800 (UT, U4, 1, 6100)
$1200 (10, 5U, 1400PRO)
$1000 (1600, 12, 7200)
$800 (5/16, 2000, PRO UTV (3900, 2900 & 1900)
$600 (Sportsman 1300, 1350, JeepSpeed)
$1000 Door Slammer Duel (Class 1400 & 2000 Big Purse Shootout. $500 per entry payback purse)
My Products
prev
next
( X )
PRO #1 Entry Fee
$
1,854.00
$1800 Entry Fee + 3% Processing Fee Class 1, Trophy Truck, Trick Truck, Ultra 4 & 6100
PRO #2 Entry Fee
$
1,236.00
$1200 Entry Fee + 3% Processing Fee Class 10, 14PRO, 5U
PRO #3 Entry Fee
$
1,030.00
$1000 Entry Fee + 3% Processing Fee Class 1600, 12, 7200
PRO #4 Entry Fee
$
824.00
$800 Entry Fee + 3% Processing Fee 5/1600, 9, 2000, PRO UTV (1900, 2900 & 3900)
Sportsman Entry Fee
$
618.00
$600 Entry Fee + 3% Processing Fee Class 1400, Class 1300 (4 Cylinder Sportsman) Class 1350 (Unlimited Sportsman) & JeepSpeed
Door Slammer Duel (Class 1400 & 2000)
$
1,030.00
$1000 + 3% Processing Door Slammer Duel (Class 1400 & 2000 Big Purse Shootout. $500 per entry payback purse)
Total
$
0.00
Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Register
Should be Empty: