Cascade Sports Car Club
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1Cascade Sports Car Club
Driver Training School / HPDE
Entry Form
*Prefer On-Line Registration @ *
School
HPDE
Open-wheel (single session)
Event Date:
/
/
Name:
Address:
City:
State:
Zip:
E-mail:
Home Phone: (
)
Bus. Phone: (
)
Age:
(must be 18 to enter)
Date of Birth:
Emergency Contact:
Contact Phone: (
)
Street Legal Cars - Vehicle Info
[Note: Convertibles w/ Pop-Up rollbars no longer allowed.]
Make:
Year:
Model:
FWD
RWD
AWD
Displacement/power:
Drive:
Race or Prepared Cars: Cars Ready For Competition - Vehicle Information
Make:
Year:
Model:
Displacement/power:
Class Prepared For:
NOTE
- Drivers without a competition license must have properly installed passenger seat & belts
Is this your first driving school?
Are you seeking an ICSCC competition license?
Do you have an instructor preference?
(Not Guaranteed)
Experience: List previous schools and/or track days (if any)--REQUIRED FOR HPDE ENTRANTS
Group participated in
Track
Date
Organization
(Novice, Intermediate, Advanced.)
How did you find out about our event?
:
Payment– Choose School or HPDE
(Helmet Rentals available @ $10 limited supply)
Driving School
$210.00
Helmet Rental (Optional)
$ 10.00
Upon receipt of your entry form and payment you will receive
our 38 page Driver Training Manual and additional classroom
HPDE
$180.00
information.
OW single 15min. session
$45.00
Total
I herby certify that the information supplied on this page is correct, ____________________________ _________
and that I assume all liability for myself and my vehicle at this event.
Signature
Date
th
Mail to: Tracy Klein 209 SW 18
St, Battle Ground, WA 98604
*Preferred method of entry is on-line @ *
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