PORSCHE CLUB OF AMERICA Kansas City Region 2011 AUTOCROSS Sunday, May 26, 2011 9:00am Until DoneAmeristar Casino Farthest West Parking Lot 3200 N Ameristar Dr Kansas City, MOEvent Pre-Registration Form
Name:
Address:
City/State/Zip:
Phone:
Cell:
EMail:
Driver's License:
State:
Porsche Model:
Year:
Color:
Autocross Experience:
Beginner
Novice (less than 2 events)
Experienced
Comments:
Registration fee is $30 either in advance or on the day of the event.
Helmet required: (Snell 2005 or Newer Certification). We will have several loaners available also.
Driving directions:
From Kansas City (Missouri side) on I-435 North. Exit 55B, (MO-210 HWY.) Rt. On North Ameristar Dr. Meet us at the farthest West Lot by the movie theaters. Just south of Ameristar Daycare.
From (Kansas side). I-435 E. Exit 55B, (MO-210 HWY.) Rt. On North Ameristar Dr. Meet us at the farthest West Lot by the movie theaters. Just south of Ameristar Daycare.
For more info: call 913-788-0007or email
Rudys968and944S@aol.com
.
Either send payment to him at
Rudy Rodriguez
6647 Waverly
Kansas City
, KS
. 66104
click the PayPal link on the next page. Thank you and we look forward to seeing you there!
This form will generate an email to Rudy with your information.