First Name

Last Name

Birthdate

Age

Email

Address Line 1

Address Line 2

City

State

Zipcode

Phone

Kart Number 1st Option

Kart Number 2nd Option

Kart Number 3rd Option

Please Select Classes for Entry Friday 11/29/24
Clone Light 330#Junior Clone A (5-7) .375 Red Plate 250# 12/65 GearPredator medium (Gulf Coast) 350#Sumo Heavy 450# (Driver 225#)PRO Clone Medium 350#JR1 Clone Light (8-10) 260# Green PlateChamp Light (Clone) 415#Super Heavy 420# (Driver 200#)Over 35 Light 365#JR3 Clone Light (13-15) 300# Blue PlateClone Heavy 375#PRO JR1 Clone Light (8-10) 260# Green PlateELITE Clone Medium 350#JR2 Clone Light (10-12) 270# Purple PlatePredator Heavy 370# (Gulf Coast)ELITE Clone Heavy 375#ELITE JR3 Clone Light (13-15) 300# Blue PlateSmall Block Open 375#ELITE Super Heavy 420# (Driver 200#)PRO JR2 Clone Light (10-12) 270# Purple PlateELITE Clone Light 330#PRO Unlimited (15+)

Please Select Classes for Entry Saturday 11/30/24
Clone Medium 350#Junior Clone A (5-7) .375 RED Plate 250# 12/65 GearSuper Heavy 420# (Driver 200#)JR3 Clone Heavy (13-15) 330# Blue PlateChamp Heavy (Clone) 430#JR1 Clone Heavy (8-10) 270# Green PlatePredator Heavy 375# (Gulf Coast)ELITE Clone Medium 350#Sumo Heavy 450# (DRIVER 225#)ELITE JR2 Clone Heavy (10-12) 290# Purple PlatePredator Medium 350# (Gulf Coast)NEF Senior 375#PRO JR1 Clone Heavy (8-10) 270# Green PlatePRO Clone Light 330#Elite Small Block Open 375#NEF Junior (9-14) 300# Blue PlateELITE Super Heavy 420# (Driver 200#)PRO JR2 Clone Heavy (10-12) 290# Purple PlateOver 35 Heavy 375#ELITE JR3 Clone Heavy (13-15) 330# Blue PlateElite Clone Heavy 375#PRO Unlimited

Credit Card Number

CSV Number

Expiration Date