KHMTT Registration
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| Name: | NAME |
| Address 1 | |
| Address 2 | |
| City/State | |
| Zip Code | |
| Phone | |
| Emergency Contact Name: | |
| Emergency Contact Phone: | |
| USAC License Status: | LICENSE |
| Racing Age: | AGE |
| USAC Category: | CATEGORY |
| Please Select a Category For Your Race: | CATLIST |
| Please Select a Start Time: | |
| Would you like to purchase a second race, two start times each night? (Additional $6 per night) | |
| 2nd Race Start Time: | |
| If Yes, select your second race start time above and choose your category for your second race below. Your two start times should be a minimum of 45 minutes apart. Your second category may not be the same as your first. | |
| Please Select a Category for your 2nd Race: | RACE2CAT |
| Please Enter your Email Address: | |
| I am purchasing: | |
| I understand that if I do not race that I forfeit my entry fee. No refunds for multiple week races, refund for One Day only if there is a weather cancelation. I have reviewed this page and have selected the correct category, number of races and start time for my race. | |