Preregistration Form

To streamline the registration process the morning of Sunday, October 24 fill out this preregistration form and simply bring your check (made out to Mid State Ohio Kart Club) to registration. Please provide all requested information Submit only one form per registering driver.

 


Driver Name:
Address:
City:
State:
Zip:
Email:
Emergency Contact:
Emer. Contact Phone:
Classe(s) Entered: 125cc Shifter
Indicate with an "X" TAG
  Spec 100
  Super Can
  Briggs Medium
Team Name:
Chassis Make:
Engine Builder:
Additional Sponsors: