Please complete the following form to officially enter the 2019 Canadian Short Track Nationals. Secure payment can be made by credit card (Visa, MasterCard, American Express). All fields with a red asterisk(*) are required.

IMPORTANT: Please wait for a thank-you message after clicking “Submit”; if you do not get the thank-you message please review the form for errors – they will be indicated by the filed that requires fixing. Once your form is processed you will receive two emails, one will be a receipt for payment and the other will be a copy of your Entry.


ENTRY FEES ARE NON-REFUNDABLE

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Series & Car Information

*FEES PAID HEREIN ARE NON-REFUNDABLE / Entry Fees will increase August 18, 2019, as follows: Pro Late Model - $250.00, Super Stock - $100.00. ENTRY FEE IS FOR CAR ONLY; DRIVER AND CREW MUST PURCHASE PIT PASSES.

Driver Information

By submitting this Entry Form the Driver consents to the use, without charge, of their name and/or pictures of them and their race car, for promotional purposes.

Sponsor Information

please list one per line, in order of mention