| Name:
First______________________ Middle_____ Last__________________________ |
| Address:
________________________________________________________________ |
| City:
_____________________________________ State: ________ Zip: _____________ |
| Telephone: ( )
_______ - ____________ Email _______________________________ |
| Age: _______
Date of Birth: _________________ |
| Do you hold a valid
AMA Card? _______AMA # ____________ Expires _____________ |
| Do you hold a valid
District Card ?_______District_____________District #____________ |
| Your district
number will be our first choice, if you don't have
a district card please |
| list a few numbers
that you would like to request._________________________________ |
|
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| We highly
recommend getting a card for proper ID and scoring |
| Cards will be $20.00 if purchased at track. |
| Cards are good for
Two years. Jan, 1st to Dec, 31st |
| To secure your number you need to get your
applications in ASAP. |
| Racers 4-15 years old must send a copy of
birth certificate, unless one was sent in in 2006.. |
| Racers under 18
must have legal guardian at sign up. |
|
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| Make check payable
to: TRS or Trapani's in the amount of $12.00 or use credit card by phone at
609-693-3773 |
| Print this
application, fill it out completely and Mail to: Trapani
Race Setups Rt.9 Waretown Plaza Waretown, NJ 08758 |