Welcome to the Region 2 Derby Race Registration

Local Livermore, CA - 5/17/2020
Pre-register by: 5/9/2020
Rally ID (if known)
Racer's Name
Racer's Date of Birth (e.g. 7/4/2000)
Parent's Name
Additional Parent's Name(s)
Parent's Email
Parent's Cell Number
Sunday - 5/17/2020 Local race - double elimination race
First Time Racing? No / Yes
Would you like to borrow a club car? No I have my own car
Yes please
Yes and I have borrowed one in the past
Please describe you car (e.g. red with flames)
(If you own your car or want to use
the same club car as in the past
Which division will you be racing? Stock Age 7-10
Super Stock Age 9-14
Masters Age 10-21
Not Sure
Do you already have a Code of Conduct on file?
Download here - you can bring to the race
No / Yes