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A.M.E.C. Studs On Ice Registration Form

 

All drivers must sign the Drivers’ Waiver Form at the registration booth on the morning of the event.

Please type clearly;

Driver’s Name 

Drivers Age

Street Address 

City

State

Zip

Car Owner’s Name

Car Year/Make/Model

Car Color, Car Number

Car Class 

Emergency Contact(1) Phone

Emergency Contact(2) Phone

 

E-Mail Address

Please include your E-Mail address so that we can contact you with event updates and all other correspondence.

 

 

Please leave field's below blank as you will need to sign this area at registration on the morning of the event.

Your signature below indicates that you agree to abide by all the rules, regulations and official decisions of the Adirondack Motor Enthusiasts Club, Inc. Autocross Events.

Driver’s signature - Date

Owner’s signature - Date

 

 

Copyright © 2006 A.M.E.C.  All rights reserved.
Revised: 08/28/07.