Registration

Racer's Name:

Date of Birth:

Grade:

School:

For JDT Racers: Future High School:

Street Address:

City:

Zip Code:

Home Phone:

Email:

Alternate Email:

Emergency Contact Name:

Emergency Contact Phone:

Alt Emergency Contact Name:

Alt Emergency Contact Phone:

Parent Guardian Name:

Parent/Guardian Phone:

Parent Guardian Name:

Parent/Guardian Phone:

How did you hear about PAR?

Season goals?

** Click “Register” button first, then click Paypal “Buy Now” button to pay registration fee.**


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