PRE-REGISTRATION FORM

Please print this form and submit with payment in order to race!

PRO STOCK MEDIUM & HEAVY  Pre Entry = $45 & At the track = $60      

BOX STOCK, PRO PURPLE & BLUE = $30

PRO JR. RESTRICTED GOLD & PRO SENIOR CHAMP = $35

ALL OTHER CLASSES: PRE ENTRY = $50

 – INCLUDE NAME, CLASS(ES) AND KART NUMBER(S). 

MAIL TO: FKA C/O JUDY SIMS, 3994 NW 36 LOOP, JENNINGS, FL. 32053*
Your Name:_________________________________________________________________
Class(es):__________________________________________________________________
Your race kart #:______________________ 2nd choice (if needed):___________________

Total payment enclosed=$_____________