* denotes a required field

Personal Information:
*Name:
Pro-Touring.com Username:
or
Musclerides.com Username:
or
HighPerformanceToys.com Username:

*Valid Email:
Cellular phone number preferred for event
*Phone Number:
Please indicate what type of number
Cellular Number
Land Line Number
City:
State:
Number of persons besides yourself:

Vehicle Information
Make:
Model:
Year:
Comments:


I plan to attend: (Please check all that apply)
Friday Cruise 4-6pm
Friday "supper" 6-8pm
How many total people for dinner if any. Include yourself:
Sunday 1/8 Mile Drag Racing 8am-2pm
Play Hookie from work on Monday

Insurance Waiver
As per standard procedure, any participants drag racing, autocrossing or entering the pit areas will need to sign an insurance waiver before doing so. For more information, or to view a copy of the waiver, please contact an administrator, or Bill Howell.

How Did You Find Out About The Event (Please only check one)
Pro-Touring.com
MuscleRides.com
HighPerformanceToys.com
LS1Tech.com
Magazine.com
Other