KARTS INDOOR RACEWAY

701 UNION PARKWAY

RONKONKOMA, NY 11779

631-737-5278

LEAGUE APPLICATION

 

 

 

Name:

                      Last                                          First                              Middle Initial

 

 

Address:

 

City:                                                                State:                          Zip Code:

 

 

Telephone number: _______________________________________

 

 

Are you at least 18?                                   Yes                 No

 

 

DATE OF BIRTH: _________________________________________

 

 

NYS LICENSE VERIFICATION: _____________________________________________________

 

PREFERED DAY:                    MONDAY                    TUESDAY

PREFERED TIME:       _________________________________

LEAGUE DIVISION    ________________________________________________________________

 

PLEASE NOTE THAT WE CANNOT ALWAYS ACCOMMODATE YOUR PREFERRED DAYS/TIME.

 

PAYMENT SCHEDULE:

 

YOU MUST SHOW LICENSE TO DRIVE FAST OR TURBO OR TAKE ROAD TEST FOR A NON-REFUNDABLE $10.00 FEE.

RACES WILL START OVER IF COMPUTER MALFUNCTIONS, UNLESS 4 LAPS HAVE BEEN COMPLETED. THIS WILL COUNT AS A FULL RACE.

 

League pricing is as follows:

 

Pay in full up front  = $200.00

There will be no weekly payment plan.

 

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