KART MARRS Pre-Reg Form
Click on printer icon to the right to print form, fill in & mail with check to address below.

LAKE GARNETT ROAD RACE ENTRY FORM

  

NAME_________________________________   Age_____  Date of Birth____/____/____

 

Address_______________________________  City_______________   State_______  Zip________

 

Phone # (______)_______-__________  Kart Membership #______________________  Exp._____



Date of Race _____________________



Class Name_______________________________  Kart#_______________  Transponder # _____________

 

Class Name________________________________  Kart#_______________  Transponder # ______________

 

Class Name________________________________  Kart#_______________  Transponder # ______________

 

Class Name________________________________  Kart#_______________  Transponder # ______________

 

Class Entry             ______@ $75.00=   $_____               

Transponder Rental______@ $ 5.00=   $_____            

                                                TOTAL $________

Signature (18 or older) _______________________________

Print Signature Name_________________________________

MAKE PAYMENT TO GARNETT KART CLUB - mail to Ron Anderegg at 504 S. Vine St, Garnett, KS  66032   

Passes: Pay at Track
Driver - $25
Non Driver 12 & up - $20
Non Driver 2-11 - $10

For information call Ron at 785-448-4537 or 785-448-6366.           

Brand new Hotel  - Garnett Inn  785-448-6800