2008 CANNONBALL ONE LAP DRIVING SCHOOL -  REGISTRATION

 

In the area below, please complete and submit a separate on-line registration form for each person wishing to attend either the Cannonball One Lap Driving School or the One Lap Saturday evening Dinner.

  • If attending the dinner only, provide contact information but ignore driving history and car information items.

  • Click on the "SUBMIT FORM" button (at bottom of form) only once

  • Upon successful completion of this form, you will be directed to a Payment Form


I am registering for:

Cannonball One Lap Driving School on Sat., April 5 and Sun. April 6 (Includes Dinner) - $365

Cannonball One Lap Driving School on Sat., April 5th (without Dinner) - $205

Cannonball One Lap Driving School on Sat., April 5th (with Dinner) - $230

Cannonball One Lap Driving School on Sun., April 6th (without Dinner on Sat. evening) - $180

Cannonball One Lap Driving School on Sun., April 6th (with Dinner on Sat. evening) - $205

Dinner Only on Sat. Evening, April 5th - $38/person

Dinner Only for a Table of 8 people on Sat. Evening, April 5th - $285

                         

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)
Car (Make Model Year Color)
Will be sharing above car with (First & Last Name - Leave Blank if Not Sharing)
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
If you hold an active competition license, name of Sanctioning Body
If you've run the Cannonball One Lap event before, number of times  
Will you be entering the Cannonball One Lap Event for 2008?      Yes    No
If paying via Credit Card/PayPal, Account Name that will be used
   

Click the Submit Form button only once after all required information is correctly entered... you will get a confirmation message but be patient and don't click more than once.

    

   

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 2007 [BeaveRun Motorsports Complex]. All rights reserved.
Revised: 03/07/08


 

 

 
 

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2001 BeaveRun Motorsports Complex