MARYSVILLE RACEWAY PARK
SPRING SPRINT CAR OPEN  
360 Winged Pacific Sprints & Wingless Sprints, Pro 4 Sprints
Saturday, March 5, 2011
(one form per registration)

DRIVER  INFORMATION

Name: ___________________________________________________________________________________

Address:_________________________________________________________________________________

City:______________________________________________ State: ____________Zip:_________________            

Phone # (_______) _______________-_______________________________

OWNER  INFORMATION
Checks paid to car owner

Car Owners Name: ________________________________________________________________________
                                                one name only

Address: _________________________________________________________________________________

City: _____________________________________________State: ____________Zip: __________________

Phone # (_______) ______________-_______________________________                                            

Social Security #: _________________-_________-___________________
                                           checks issued only with social security number

CAR CLASS:______________________________CAR #:__________________

MAKE CHECKS PAYABLE TO: 

Marysville Raceway Park
P. O. Box 6209
Marysville, CA  95901

 BEFORE  Feb. 15, 2011 ENTRY FEE/PIT PASS $100.00

AFTER Feb. 15, 2011  ENTRY FEE/PIT PASS $130.00

Pit Passes $40.00

Fees will be returned in event of a rain-out prior to event

CONTACT INFO:  marysvilleracewaypark@hotmail.com

Phone (530) 743-1327