NORRA: National Off-Road Racing Association, Home of the General Tire Mexican 1000 Rally

EVENT REGISTRATION

STEP 1 - EVENT REGISTRATION

Please complete all sections. All information is required, except member number and comm information.

Name:	first name last name	Member Number: (if known)	(omit year)
Driver of Record Contact Information:
Email:
Country:
Address:

City:		State:
Zip/Postal Code:
Phone:		Mobile Phone:
Date of Birth:	(mm/dd/yy)	Shirt Size:
Emergency Information for Driver of Record:
Emergency Contact:
Home/Work Phone:		Mobile Phone:
Blood Type:		Allergies:
Medications:
Medical Conditions:	characters left.
Co-Drivers and Riders:
Number of co-drivers and riders:	Enter the number of co-drivers and riders that you are ready to register and pay for at this time. You will need contact, emergency and shirt size information for each. Co-drivers and riders may be added later without a late registration penalty, up until the online registration deadline.
Entry Number Requested:
Entry Number:	Entry number requests are not guaranteed!
Comm Information:
Radio Frequency:
Tracking Info:
Chase Team Info: