MLRC Rallycross Registration

Events

• Choose the events you wish to register for

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
• Shared Vehicle Select One No Yes
• Vehicle Shared With (Names)

Payment Information

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

• Payment Method
• Pay Full Entry ($100)
  Pay Non-refundable Deposit ($20)