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ONLINE RACE REGISTRATION

Registration for the September 20-22 rounds in Medford, OR

Discounted pre-entry deadline is September 9th, 11:59pm PDT, for Rotax.
No pre-entry deadline for Shifters.

STEP 1 OF 2: Complete the fields below, and hit "Send".

STEP 2 OF 2: A confirmation page will appear, after completing Step 1. The confirmation page includes a PAY NOW button/link to a secure (SSL) payment page. Your registration is NOT complete until payment is completed. Thank you.

Use TAB key, or Mouse to navigate (do not use the enter key)

DRIVER INFORMATION (Please register 1 driver at a time)
Driver's Name: *
Street Address: *
City/State/Zip: *
Phone #: *
Email: *
EMERGENCY CONTACT INFORMATION
Emergency Contact Name: *
Home Phone:
Alternate Phone:
Relationship:
MEMBERSHIP & KART INFORMATION
Rotax Member #:
SKUSA Member #:
WKA/ASN License*:
*WKA Membership can be purchased at the track.
Transponder #:
Kart #: (1/2/3 Choice)
Rotax Kart Number Format
Micro: 0-99 DD2: 400-499
Mini: 100-199 DD2 Masters: 500-599
Junior: 200-299 Masters: 600-699
Senior: 300-399  
PAYMENT APPLICATION
Name on Credit Card: *
Important: Must match payment info on credit card, so we can match up your payment with your registration. Thank you.
ROTAX/SKUSA CLASSES

         

         

RACE ENTRY PACKAGES
Micro Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/4.5 D1 race tires - $585
Mini Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/4.5 D1 race tires - $585
Junior Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/7.1 D1 race tires - $615
Senior Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/7.1 D2 race tires - $625
Master Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/7.1 D2 race tires - $625
DD2 Max: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/7.1 D3 race tires - $655
DD2 Masters: Friday practice, Sat & Sun race entry, 1L XPS oil, driver pit pass, and 1 set of 4.5/7.1 D3 race tires - $655
Shifters: Friday practice, Sat & Sun race entry, driver pit pass, and 1 set of 4.5/7.1 MG SK race tires - $362
Transponder Rental: Weekend - $30
Pit Pass: 3 day - $30 per person. Number of Pit Passes:
Late Entry Fee: Rotax Entries Received after September 9th - $150
OIL & TIRES
Description Price Qty. Totals
Rotax XPS Oil: Price per quart $22
Motul Kart GP 2T Oil: Price per quart $21
Additional MG SK Tires: Price per set 4.5/7.1 $212
Additional Mojo D1 Tires: Price per set 4.5/4.5 $212
Additional Mojo D1 Tires: Price per set 4.5/7.1 $243
Additional Mojo D2 Tires: Price per set 4.5/7.1 $256
Additional Mojo D3 Tires: Price per set 4.5/7.1 $282
       
TOTAL: *
Enter above total manually - Remember to include race entry packages
Comment/Question:
   
Code:
*   
(Code is not case sensitive, and there are no spaces)

We look forward to seeing you at the first annual official Rotax Max Challenge / SuperKarts! USA ProKart Challenge series in the Northwest!

Pre-entry deadline is September 9th for Rotax, for the Medford Event. Rotax Competitors must be pre-registered and post payment by 11:59pm Pacific Daylight Time on September 9th, 2013 to secure your entry and take advantage of the discounted pre-entry rate. Thank you for your support. See you at the races!

 

 

Rotax Max Challenge Can-Am logo

ROTAX Membership Application

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SKUSA Membership Application

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SUPPORTING
CLUBS/TRACKS

Horn Rapids Kart Track

West Coast Kart Club - Greg Moore Raceway

Pat's Acres

Portland Karting Association


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INSTRUCTIONS

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Can-Am Horn Rapids, WA Kart Track - Tri-City Kart Club Can-Am McMinnville PKA Mac track Can-Am Canby, OR Pat's Acres - PARC track Can-Am Chilliwack, BC Official Rotax Can-Am ProKart Challenge website