2019 Events / Registration

Virginia International Raceway

From Wednesday, June 19, 2019
To Thursday, June 20, 2019

Location Alton, Virginia

VIR esses

Spaces left for this event: 62

Email Address*	The Email address you tried is already associated with an account - please login to register for this event or use a different email address. You cannot register a second time using the same email address. If you want to make changes to an existing booking you should use the secured link that was included in your initial acknowledgement email. This has just been resent to you In case you cannot find the original message.
Full Name: *
Primary Phone: *
Alternate Phone
Birth Date:
License Number:
Licensing State:
Allergies: *
Medications: *
Physician's Name: *
Physician's Phone: *
Emergency Contact Name: *
Emergency Contact Phone: *
Emergency Contact Alternate Phone
Will emergency contact be at track?	Yes No
Vehicle Year/Make: *
Vehicle Model/Color *
Car Number *
Primary or Co-Driver?	Primary Co-Driver
Will you participate in the PCA event that follows? *	Yes No Please select yes or no
Vehicle shared with (All Drivers need separate registrations- $150 per Co-Driver):
Event Cost:	$799.00$799.00
Event Cost	$150.00
Outstanding Balance	$0.00
Payment Method
Check Number if Paying by Check:
Cancellation Refund/Credit Policy	Due to the extremely limited number of participants allowed at DMTD events to ensure quality track time we do not offer refunds. 10 days or more prior to the event we will offer a credit up to and including the same event the next year. We do not provide credit closer than 10 days notice or no shows.

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