Mosport Karting Centre » Arrive & Drive Racing League

Personal Information

Name*

First Last

Driver's Name*

Email*

Address*

Street Address Address Line 2 City Province Postal Code

Phone #1*

Phone #2

Date of Birth*

Weight (lbs.)*

Age*

Emergency Contact

Full Name*

Phone*

Karting History

Member Since (Year)

Racing Schedule Number

Licence Issued

Amount

Price:

Consent

Parent / Guardian’s Name

Members under 18 years of age must have their parent or guardian to fill out this application.

Agreement*

I/We agree to respect Mosport Karting Centre Inc. and understand membership to Mosport Karting Centre racing league(s) is granted as a privilege to members who participate within the rules set forth in the 2021 Rules and Regulations.

Total

Total payable amount

HST 13%

Price: $ 0.00 CAD

Coupon

Total including HST

$ 0.00 CAD

Name

This field is for validation purposes and should be left unchanged.

Arrive & Drive Racing League – Membership Registration

Personal Information

Emergency Contact

Karting History

Consent

Total