FLAT OUT DAY REGISTRATION:  ON-LINE FORM

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

IMPORTANT NOTES: 

• Pre-Payment is required in order to reserve your spot in the event.   If a Registration Form has been submitted but payment not made in full, BeaveRun reserves the right to relinquish your spot to an applicant who has paid and place your name on a waiting list.
• If Pre-Payment is to be in the form of a gift certificate, after submitting a Registration Form call to notify the BeaveRun Office that you will be using a Gift Certificate for Pre-Payment and then mail the Gift Certificate to BeaveRun. Until the Gift Certificate is received, BeaveRun reserves the right to relinquish your spot to an applicant who has paid and place your name on a waiting list.  The event cancellation policy applies to gift certificates as well as to other forms of payment
• Pre-Payment Discounts:

  • Cost is $180 per Group 1 or 2 drivers if payment is received by 7:30 AM two days before the event

  • Cost is $170 per Group 3 drivers if payment is received by 7:30 AM two days before the event

  • Cost is $220 per driver if payment is received less than two days prior to the event

• If the event becomes sold out,  applicants are placed on a waiting list according to the date and time their Pre-Payment was received by BeaveRun.  If you have pre-paid, you will be notified by email or phone if your application is placed on the waiting list and you will be given the opportunity to cancel with a full refund or apply your payment to the next scheduled Flat Out Day.
• There are forfeiture costs associated with cancellation, with any remaining balance applied to a future Flat Out Day.  This policy applies to Gift Certificates as well as to other forms of payment.

• Details regarding Pre-Payment, cancellation and forfeiture costs can be reviewed by clicking here.

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I am Registering for the Flat Out Day Scheduled for	--- Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec      -- 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31              2008 2009
First Name
Last Name
Middle Initial (Optional)
Title (Mr., Ms. Mrs., Dr.)	Mr. Mrs. Ms. Miss 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 paying via Credit Card/PayPal, Account Name that will be used
I have read & agree to BeaveRun's Pre-Payment and cancellation terms described at top of this form	No Yes (Must select "Yes" to process form)
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.