Mini-Nats XXV On-Line Registration

Instructions for on-line registration

1. Complete the on-line form below.  If you are signing up for the open track, please ensure that all fields on the open track portion of the form are filled in.
2. If there are multiple drivers sharing the car, please complete one form for each driver.  You must indicate whether the car will be run in one run group (with either one driver or multiple drivers) or in different run groups.
3. Type any special requirements in the text field at the end of the form.
4. Submit form by clicking on the appropriate button at the bottom of the form.
5. You will be taken to our payment page which will display the amount due.
6. Follow the instructions and use Paypal or send in your check to the address just below.  If you are registering late, you can bring your check to registration at the track.
7. Confirmation packets will be mailed to all who register by August 15
8. Last day for online registration is August 25
9. Late registration will be available at the track on a space available basis.
   
10. For registration questions, please contact Sue Murray at: flytynmom@yahoo.com or 408 316-7436

Name & Address

Member ID:	See mailing label on DRIVEN
Current Nor Cal SAAC member
Other SAAC Region member
Guest (Nor Cal SAAC guest - Ferrari Club, etc)
Non-member
Name:
Street:
City:	State:
Zip:
Phone:	days
Phone:	evenings
E-mail:
Driver's Lic #: State:	Expiration Date:
First time at Mini-Nats?  Yes  No
Vendor Space needed?  Yes  No   (Contact Vendor Chairman Joe Praxel: (praxels@comcast.net) (408) 321-4346

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Car Show

Friday, August 29th at Sycamore Park in Willows

Year:		Make:
Model:		Color:

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Paddock or Covered Parking Request

Group (3 or more) paddock parking reservation request
(include enclosed trailer and RV length)
Example: John Doe - 24' Trailer - 30' RV

Total Spaces Needed	0 3 4 5 6 7 8 9
Primary Contact
Name-Length-RV
Name-Length-RV
Name-Length-RV
Name-Length-RV
Covered Parking:	SOLD OUT

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Friday Dinner at Car Show

BBQ Dinner:	0 1 2 3 4 5 6 7 8 9 persons @ $15 each
Child BBQ Dinner:	0 1 2 3 4 5 6 7 8 9 persons @   $5 each

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Saturday Awards Banquet
Memorial Hall, Willows

Buffet	0 1 2 3 4 5 6 7 8 9 persons @ $30 each
Child under 12	0 1 2 3 4 5 6 7 8 9 persons @ $10 each

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Mini-Nats XXV Shirts

(please indicate the quantity of each size)

Item	Small	Medium	Large	X-Large	XX-Large	3X-Large
T-Shirt -- $18 each	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9
Sweatshirt -- $28 each	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9	0 1 2 3 4 5 6 7 8 9

NOTE: Long sleeve and childrens sizes will be available at the event

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Open Track

Check the Nor Cal SAAC Open Tracks you participated in:

Spring Sprint 2008:  Apr 13-14, 2008 @ Thunderhill

Winter Surprise 2008: Feb 18-19, 2008 @ Mazda Raceway Laguna Seca

Laguna Bowl 2007: Dec 23, 2007 @ Mazda Raceway Laguna Seca

Fall Classic 2007:  Oct 20-21, 2007 @ Thunderhill

Mini-Nats XXIV:  Sept 8-9, 2007 @ Infineon Raceway

Spring Sprint 2007:  May 5-6, 2007 @ Thunderhill

Winter Surprise 2007:  Feb 5-6, 2007 @ Mazda Raceway Laguna Seca

Other Track Experience:
(please be specific about organizations, tracks, types of events, approx dates, etc):

Car You're Entering for the Open Track

(please fill in this section even if car is same as Car Show entry)

Year:		Make:
Model:		Color:
Requested Car Number:		Alternate Car Number:

Please check one:

Car will be driven in the same run group by another driver.

Car will be driven in a different run group by another driver.

Car will be not be shared with another driver.

Other driver:

Open Track Run Group Preference

You may sign up for more than one run group, but please be careful because you will be billed for all run group boxes you check! Prices shown are per run group. If you are sharing a run group with an already registered entrant, do not check a group, otherwise you will be billed. We try to accomodate all requests, however this is not always possible.

Vintage Exhibition Race

This will be for Historic cars and vintage race Shelbys. Final entry will be determined by OTEC. This will be a separate group and will have 2 sessions on Saturday. A practice/warmup in the morning and a race event after noon. Format is modeled after SAAC National except for cars and prep level allowed.

Run Group	Sat only $250	Sun only $250	Sat and Sun $500	None
Expert (Blue)
Advanced (Green)
Intermediate (Red)
Novice (Yellow)
Vintage Exhibition race OTEC to approve entry	$150
Friday Morning testing	$50 Car Show		$100 No Car Show

Emergency Medical Information

EMERGENCY CONTACT	Name:	Phone:	Relation:
AT TRACK (IF DIFFERENT)	Name:	Phone:	Relation:
ALLERGIES
SPECIAL CONDITIONS (IE Diabetes, hypertension, pacemaker, etc
MEDICATIONS: Please list all meds you take
DO YOU WEAR:	CONTACT LENSES Yes No DENTURES Yes No

 

Comments or Special Requests

Any other comments or special requests:

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The Finish Line

By clicking the "Accept" button below, I certify that I have read, I understand, and I accept
the Nor Cal SAAC Open Track Rules published on this web site.
Furthermore, I certify the information on this form to be true and correct.

Clicking on the "Accept" button will display a summary of your entry information in a new window.
You may want to print this and save it for your records.

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Form last updated: