Personal Information:
First Name:
Last Name:
Street Address:
City:
Prov/State:
Postal/Zip Code:
Home Phone:
Work Phone:
Cell Phone:
E-mail address:
Emergency Contact:
Emergency Phone:
Vehicle Information/Driver Experience:
Manufacturer:
Make or Model:
Year:
Colour:
Club or Organization:
Home Track:
Describe Experience:
Payment Information - $375 per entrant:
Credit Card:	Please call the CMHF at 905-876-2454 OR Bob Armstrong (CMHF VP & Event Registrar) at 613-489-2725 with your credit card information
Or by Cheque	Payable to CAC/CMHF - mail to CMHF