On-Line Registration for Car/Bike Open Lapping Day

 
 

 

Please provide the following information...  then click the "Submit Form" button at bottom. 

Cost:  $120

 

Eligibility and other requirements for this event:

This is a day intended for the persons with sufficient track experience that they require no instruction.  To be eligible for this event drivers/riders:

  • Must have previous BeaveRun track experience

  • Must be able to provide some proof of participation in driving/riding events at an advanced level (for example, Group 3 at Flat Out Days, personal recommendation of a chief instructor, experience with a sport bike riding organization, PCA Group A/B, etc.)

  • Must be fully capable of safely handling high performance driving/riding without the aid of instruction

  • Must have a valid driver's license and be over the age of 18 years. Under 18 will require parental consent form to be signed at registration

  • Drivers/riders must wear an approved helmet (minimum of Snell 2000 or equivalent)

 


Scheduled Date for Car/Bike Open Lapping                    
First Name
Last Name
Middle Initial (Optional)

Title (Mr., Ms. Mrs., Dr.)

Street Address
Street Address (cont.)
City
State Abbreviation
Zip/Postal Code (5-digit is OK)
Country
Email Address
Daytime Phone #  (Area Code-nnn-nnnn)  
Select Car or Bike
Car/Bike Info (Make Model Displacement Color)
Blood Type (for example, A+)
Allergies (if none or unknown, enter NKA)
Emergency Contact Name (First & Last)
Emergency Contact Phone # (Area Code-nnn-nnnn)
# of Road Course Track Days at BeaveRun  
#  of Road Course Track Days Elsewhere  
   

Click the Submit Form button only once after all required information is correctly entered... you should get a confirmation message within a few seconds.

    

   

BeaveRun doses not sell, trade or share any contact information with outside parties and the information you provide will be used exclusively by BeaveRun.  You may receive occasional emails from BeaveRun based on the information you have provided above, but you may at any time have your contact information removed from such mailings by replying to an email with "REMOVE" as the subject.  Alternatively, you may contact us by phone and ask that you be removed from our list for future mailings.

If you have any questions regarding the above form or our contact list, please call us at 724-535-1000.


Author:  Earl Seiler.
Copyright 2006 [BeaveRun Motorsports Complex]. All rights reserved.
Revised: 01/04/07


   

 

 
 

 

 

 

 

 

 

 

 
     
   

 

 
     
     
     
     
     
     
     

  

© 2001 BeaveRun Motorsports Complex