2024 Registration for Championship Points & Permanent Number

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Please complete this form to register for Edgewater and Summit Championship Points
Filing Fee is $65.00 and can be paid at the gate at your first race or through PayPal to management@edgewaterrace.com. Your registration also includes tickets for the annual racer's banquet.
Points WILL NOT BE awarded until fee is paid.

Full Name: *

Address: *

Phone Number: *

Email Address: *

NHRA Membership #: *

NHRA Membership Expiration Date: *

YYYY

NHRA License #: (If not required, type in "NR") *

NHRA License Category Type:

NHRA License # Expiration Date:

YYYY

Current NHRA Car Number (leave blank if one needs to be assigned)

Racing Class For Points: *

Super-Pro

Pro

Sportsman

Junior

Street Bike

Year/Make/Model of YOUR Race vehicle: *

T-Shirt Size: *

Small

Medium

Large

X-Large

2XL

3XL

Payment Information: *

I will pay $65.00 at gate prior to my first race

I will send $65.00 through PayPal to the Edgewater Sports Park business account: https://paypal.me/EdgewaterSportsPark

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