First and Last Name of Parent

Phone *

Email *

First and Last Name of Rally Participant *

Age of Participant *

Will participant be racing? *

Yes

No

Will you be bringing your own 12 Volt or using one that is provided? *

We'll be bring our own 12 Volt

We'll be using a 12 Volt that is provided

Will participant be part of the 12 Volt rally? *

Yes

No

Would you like to pre-order an Event T-shirt? (You will receive an information email that has a link to pay for your shirt.) *

Yes, Youth T-shirt

Yes, Adult T-shirt

No

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