Miami Valley Quarter Midget Racing Association presented by Platinum Express Inc./Team Platinum 26

MVQMRA Race Registration

Race Date


Handler Information


Home Club


Driver Information

How many drivers will you be registering for this event?


Additional Team Members

Please note that current USAC .25 guidelines state that you may have a maximum of 6 team members. List the names of all additional team members who have not already been named in this registration.

All team members over the age of 18 must sign the USAC .25 Waiver. The waiver must be signed for EACH race date.


Waiver




Payment

After submitting this form, you may pay via PayPal or Venmo.