Copyright 41 North Racing 2011
Register
Entry Fees:
8-Hour Course
•
Regular Registration (ends at 10:59PM CT on 4/21/12): $85 per racer
Regular Registration (ends at 10:59PM CT on 4/21/12): $85 per racer12-Hour Course
•Regular Registration (ends at 10:59PM CT on 4/21/12): $100 per racer
Regular Registration (ends at 10:59PM CT on 4/21/12): $100 per racer* Registration closes at 10:59PM CT on 4/21/2012.
All racers must hold a current USARA Membership to participate. Memberships can be purchased through www.usara.com. You may also purchase a membership at check-in ($8.00 single event USARA fee).
If you would like to register by check instead of using our online credit card processing, please fill out the form below and press the 'Submit' button. Do not proceed to the credit card processing form. Then just send a check or money order (made out to 41 North Racing, LLC) to:
41 North Racing, LLC
406 Tailfeather Ct NW
Bondurant, IA 50035
Please fill out ALL fields in the registration form below
Team Information
Team Name: *
Team Website: (if applicable) http://
Select Division:
Team Member Information
Team Member #1
Team Member #2
Name*
Name*
Address*
Address*
City*
State*
City*
State*
Zip Code*
Zip Code*
E-Mail Address*
E-Mail Address*
Phone Number*
Phone Number*
Birth Date (mm/dd/yyyy)*
Birth Date (mm/dd/yyyy)*
Gender
Gender
Shirt Size
Shirt Size
Team Member #3
Name*
Address*
City*
State*
Zip Code*
E-Mail Address*
Phone Number*
Birth Date (mm/dd/yyyy)*
Gender
Shirt Size
Team Member #4
Name*
Address*
City*
State*
Zip Code*
E-Mail Address*
Phone Number*
Birth Date (mm/dd/yyyy)*
Gender
Shirt Size
Follow The Following Steps To Checkout
1. I do not have a coupon and I am ready to check out
2. I have a coupon code and need to enter now
3. I have entered my coupon code and now need to check out
Payment Method
Registration is Closed!
