MLRC Rallycross Registration

Events

• Choose the events you wish to register for
• Can-Jam RX - Feb 26th
  Can-Jam RX - Jul 8th
  Can-Jam RX - Sep 23rd
  Can-Jam RX - Oct 21st

Driver Information

• First Name
• Last Name
• Phone Number
• Address
• City
• Province
• Postal Code
• Email
• Club

Emergency Contact Information

• Contact Name
• Relationship
• Contact Phone

Vehicle Information

• Class Select One Class 1: All front-wheel drive vehicles Class 2: All rear-wheel drive vehicles Class 3: All naturally aspirated four wheel drive vehicles Class 4: All force induction four wheel drive vehicles
• Year
• Make
• Model
• Colour

Payment Information

The Maple Leaf Rally Club accepts the following forms of payment:

• Payment Method
• Cash or Cheque
  Credit Card