RC CARS PRE- REGISTRATION FORM

2011 Cajun Indoor RC Nationals at Cajun Indoor Kart Nationals

                                    PRE - REGISTRATION FORM

Make Checks Payable to:      Cajun Indoor Kart Nationals

Mail Form and Payment to:   P.O. Box 1265

                                               Walker, LA 70785

      Each person that pre-registers will get a Cajun RC T-Shirt!!

NAME:  _____________________________________________

ADDRESS: ___________________________________________

                  ___________________________________________

EMAIL:  _____________________________________________

PHONE:   ____________________________________________

                                  [  ] I HAVE read the General Rules and all

                                      Rules for each Class

                                                      Racer's Initials ________

Your $35 entry fee includes both race days and one car, as well as,

entry to Kart races. There will be a $20 fee for each additional car.

   RC CAR # (Numbers assigned based on first come first serve Registrations)

    Check the class or classes your running and pick your top three car #'s

  ___RC Sprint Cars              Car# 1st______  2nd______3rd______                      

  ___RC Late Model Nitro     Car# 1st______  2nd______3rd______             

  ___RC Outlaw Late Nitro   Car# 1st______  2nd______3rd______          

  ____TOTAL ENTRIES       

TOTAL $ Enclosed       ______________