New Castle Motorsports Park, 2009 Riley's Children Hospital Benefit Race
Personal Information
Driver's Name Address City State / Zip / Phone E-mail Transponder # Credit Card Number (Visa, MC, Discover) No AmEx Expiration Number CCV Three Digit Security Code on Back of Card Please give your desired kart number - 1st choice - 2nd choice
Event Information (check all applicable boxes)
1st Senior Class Entry (check box & select class) $60.00 Please select 1st class TaG USA Senior TaG Sportsman 125cc Shifter 2nd Senior Class Entry (check box & select class) $60.00 Please select 2nd class ***NONE TaG USA Senior TaG Sportsman 125cc Shifter JUNIOR Class Entry (check box & select class) $40.00 Junior Class Entry SSX Junior Can (12-15 yrs) Yamaha Junior Sportsman KID KART Class Entry (check box & select class) $30.00 Kid Kart RENTAL Transponder - 1 Per Driver $10.70 Select None Needed Rental Transponder - YES Pit Passes DRIVER and Crew Members Must Have Pit Pass You can also purchase pitpasses at the track Please make selection No Additional Passes Needed 1 pass - $10 2 passes - $20 3 passes - $30 4 passes - $40
$60.00 Please select 1st class TaG USA Senior TaG Sportsman 125cc Shifter
$60.00 Please select 2nd class ***NONE TaG USA Senior TaG Sportsman 125cc Shifter
$40.00 Junior Class Entry SSX Junior Can (12-15 yrs) Yamaha Junior Sportsman
$30.00 Kid Kart
$10.70 Select None Needed Rental Transponder - YES
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