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Autocross Challenge Pre Registration

Form Password
Enter your early access password
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This form requires a password for early access

Driver Information:

First Name:
Field is required!
Field is required!
Email Address:
Please enter a valid email address
Please enter a valid email address
Last Name:
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Field is required!
Phone Number:
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Field is required!
Address:
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Field is required!
City:
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Field is required!
State/Province:
  • - select a state -
  • Alabama
  • Alaska
  • Alberta
  • Arizona
  • Arkansas
  • British Columbia
  • California
  • Colorado
  • Connecticut
  • Delaware
  • District of Columbia
  • Florida
  • Georgia
  • Hawaii
  • Idaho
  • Illinois
  • Indiana
  • Iowa
  • Kansas
  • Kentucky
  • Louisiana
  • Maine
  • Montana
  • Nebraska
  • Nevada
  • New Brunswick
  • New Hampshire
  • New Jersey
  • New Mexico
  • New York
  • North Carolina
  • North Dakota
  • Ohio
  • Oklahoma
  • Oregon
  • Manitoba
  • Maryland
  • Massachusetts
  • Michigan
  • Minnesota
  • Mississippi
  • Missouri
  • Ontario
  • Pennsylvania
  • Rhode Island
  • South Carolina
  • South Dakota
  • Tennessee
  • Texas
  • Utah
  • Vermont
  • Virginia
  • Washington
  • West Virginia
  • Wisconsin
  • Wyoming
- select a state -
Field is required!
Field is required!
Zip/Postal Code:
Field is required!
Field is required!
Event Shirt Size: (Included with registration)
  • - select a size -
  • S
  • M
  • L
  • XL
  • 2XL
  • 3XL
- select a size -
Please select event shirt size
Please select event shirt size

Vehicle Information

Year:
Please enter a valid 4-digit year
Please enter a valid 4-digit year
Make:
  • Buick
  • Chevrolet
  • Dodge
  • Ford
  • Oldsmobile
  • Pontiac
Field is required!
Field is required!
Model:
  • Camaro
  • Firebird
  • Mustang
  • Corvette
  • Miata
  • Chevelle
  • GTO
  • 442
  • Monte Carlo
Field is required!
Field is required!
Transmission:
Field is required!
Field is required!
Engine:
Field is required!
Field is required!
Track Sponsors
Please check if you are using any products, or have used any service, from any of the following track sponsors on your registered vehicle.
Field is required!
Field is required!
Car Number Choice (Optional)
If you have a number preference please fill it out here. Numbers are first come first serve and are not guaranteed. If you raced with us before your old number is usually passed on to the next year.
Numbers are limited to 3 digits
Numbers are limited to 3 digits

Extra Guests

Your event ticket includes a catered lunch wrist band for the driver. Wrist bands for crew members and family may be purchased for $25 each (within 10 days of the event OR $35 each at the event). This will allow us to better calculate food requirements. Kids 5 and under eat free and do not require a wristband.
Extra Guests ($25 each):
Fee per guest attending. Includes lunch for both days and Friday evening activity.
Kids 5 and under are free.
-
+
Field is required!
Field is required!
Total
Total$0.00USD
Field is required!
Field is required!

Extra Event Shirts

We will send out a email at least a month before the event with a link to purchase additional event shirts and apparel.

Event Lodging

Please see your registration confirmation email for lodging details
Track Terms & Rules Agreement

Check below that you agree to the rules and terms of UMI Motorsports Park (opens new window).

Field is required!
Field is required!
Field is required!
You must agree to the track rules and terms.
Submit
  • January 14, 2022