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Event Signup

Michiana Raceway Park Championship Series and Rotax Challenge Registration Form
In an effort to reduce lines on race day, we are now accepting pre-registration information. Please fill out the following information to submit a pre-registration form. You will receive a copy via email. Please print it and bring with you to the track to insure your form was properly submitted. You may register for a single event as well as for select events.
 
Thanks for racing with us!
First Name Last Name
required field required field
   
Email Confirm Email
required field required field
   
Phone  
required field  
   
Emergency Contact Emergency Contact Phone
required field required field
   
Class Kart Number
required field required field
   
Chassis Type Engine Type
required field required field
   
Sponsors  
   
Transponder # Renting A Transponder?
No Yes
   
Are you an MRP Championship Series Member? Series Member Number
No Yes required field
   
Are you a RotaxMax Member? RotaxMax Member Number
No Yes required field
   
Events You Will Be Attending (Hint: Use ctrl-click to select multiple items)
   
Payment Method At Track:  
Cash Check Charge required field  

 {TIMESTAMP value}{ipaddress value}

required field = Required
   

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