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

Cost:  $150.00, payable prior to entering false grid

Eligibility and other requirements for this event:

• You must be a registered participant in the race event immediately following this Test & Tune Day at BeaveRun.

• You must possess a valid Competition License for the sanctioning body governing the upcoming race event.

• All vehicle and driver safety regulations of the Race Sanctioning Body will be in effect.

• Exhaust noise must meet SCCA specifications or those of the Race Sanctioning Body, whichever are more stringent.

• Drivers are solely responsible for the preparation and safety of their vehicle(s).

• Drivers are fully responsible for their own technical inspection.

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Scheduled Date for Car Test & Tune	--- 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       2006 2007 2008
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
Permanent Car Number (leave blank if removable)
I will be racing in the following class(es)
Blood Type (for example, A+)
Allergies (if none or unknown, enter NKA)
Emergency Contact Name (First & Last)
Emergency Contact Phone (Area Code-nnn-nnnn)
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.