Grass Drag Registration

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Registration for

GPK Belwood Fall Nationals 2015

Saturday October 17,2015

7th Street

Belwood, On.

$20 per Sled track fee to be paid on race day at Registration.

Entry fee is $10 per class.

General admission $10, Kids 12 and Under free.

No track fee or entry fee for

Kids or Youth Classes.

GPK Grass Drag Classes 2015 R00

2015 Grass Drags Registration Form

I have raced with GPK before

YesNo

Name (Required)*

Parents name is racer is a minor (Required)*

Date of birth (Required)*

Full address including postal code. (Required)*

Phone number (required)*

E-mail address*

Sled/ATV Number (If you have more than one sled, use the same number for each with an A, B, C etc after the number)

Sled/ATV make

Sled/ATV model

Sled/ATV year

Engine CC

Number of cylinders

Type of cooling

Classification

Type of exhaust

Track Type

Please list any modifications done to sled/ATV. Type None if no modifications.

Kids and Youth Classes Classes 1 thru 3 (Sleds)

# 1 - Kids Mini Sleds# 2 - Youth 300 CC# 3 - Youth Builders

1974 and older Super Stock F/C F/A Classes 4 thru 6

# 4 - 300 CC Max# 5 - 400 CC Max# 6 - Over 400 CC

1990 and Older Super Stock F/C F/A Classes 7 thru 9

# 7 - 300 CC Max# 8 - 400 CC Max# 9 - 550 CC Max

1990 and older Super Stock Liquid Classes 10 thru 12

# 10 - 400 CC Max# 11 - 500 CC Max# 12 - 650 CC Max

Run Whatcha Brung Classes 13 thru 16

# 13 - Single Cyl any size, 74 and older# 14 - 400 CC Max 1990 and older# 15 - 500 CC Max 1990 and older# 16 - 650 CC Max 1990 and older

Late Model Trail Stock Classes 17 and 19

# 17 - 500 CC Max any year# 18 - 600 CC Max any year# 19 - 800 CC Max 2 stroke, open 4 stroke (no Turbo)

ATV Stock Classs ATV Stock Classes 20 thru 22

# 20 - Youth ATV# 21 - Adult ATV 2WD - Max 300cc 2 St, 450cc 4 St# 22 - Adult ATV 4WD Max 650 CC 4 stroke

Race Day

Info given is correctI will provide my Personal Protection as reqdI will abide by all rulesI will sign all waivers and papers requiredI will pay track fee as requiredI will provide 3 days notice if unable to race.

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