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ARRIVE & DRIVE RACING LEAGUE – MEMBERSHIP REGISTRATION
Personal Information
Driver's Name
*
First
Last
Email
*
Address
*
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
Phone #1
*
Phone #2
Date of Birth
*
MM slash DD slash YYYY
Weight (lbs.)
*
Age
*
Emergency Contact
Full Name
*
Phone
*
Karting History
Member Since
Please Select
2025 (Rookie/First Year)
2024
2023
2022
2021
2020
2019
Racing Schedule Number
*
Please select
Schedule 1 – Tuesday @ 5pm
Schedule 2 – Wednesday @ 5pm
Schedule 3 – Saturday @ 10 am
Schedule 4 – Sunday @ 5pm
(View last year schedule for reference)
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 Rules and Regulations.
Total
Total payable amount
HST 13%
Price:
$ 0.00 CAD
Coupon
Total including HST
$ 0.00 CAD
Comments
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Full Name
*
Email
*
Name
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