Registration - THE GREAT MAPLE CART DERBY

THE GREAT MAPLE CART DERBY
439 GLENKINDIE AVE. VAUGHAN L6A 2E4 (905) 773-1221 ex 8183 WWW.MAPLECARTDERBY.COM

Home

About Us

Registration

Cart Specifications

General Race Rules

Race Schedule

Sponsors

Sponsorship Opportunities

Gallery

REGISTRATION FORM

*******NO refunds after August 23rd 2008*******

*First Name:
*Last Name:
*Address:
*City:
*Zip/Postal Code:
*Phone:
Date of Birth:
age:
gender: (M or F)

PARENT / GUARDIAN INFORMATION
*First Name:
*Last Name:
*Address:
*City:
*Zip/Postal Code:
*Work Phone:
*Home Phone:
*E-mail:
Additional Comments or Needs:

******Must be a resident of York Region to participate******
NOTE: Registration fee of $25 must be paid on or before qualifying date of August 23rd 2008. If you do not pass car inspection/driver qualification on August 23rd 2008 you will NOT be eligible to race on race day Saturday September 13th 2008.

****NO EXCEPTIONS****