Mosport Karting Centre » MIKA – MEMBERSHIP REGISTRATION

Personal Information

Driver's Name*

Email*

Address*

Street Address Address Line 2 City Province Postal Code

Phone #1*

Phone #2

Date of Birth*

Age*

Associate Members Name*

Associate Members Date of Birth*

Associate Members Price*

Price:

Are you a Rookie?*

1st Entry ($185.00 CAD + HST)*

Kart Number (1st Entry)*

2nd Entry ($125.00 CAD + HST)

Kart Number (2nd Entry)

Do you want to add an additional Family Driver?

Yes

Driver's Name*

Date of Birth*

1st Entry ($125.00 CAD + HST)*

Kart Number (1st Entry)

2nd Entry ($100.00 CAD + HST)

Kart Number (2nd Entry)

Please visit our store for additional options such as Paddock Spot Area and Seasonal Practice Pass.

Total payable amount

HST 13%

Price: $ 0.00 CAD

Coupon

Total including HST

$ 0.00 CAD

Email

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