S.C.C.A. Drifting Registration form:
Drifting practice event March 19, 2005. San Joaquin County Fairgrounds.
PRE-REGISTRATION IS REQUIRED!!!! No same day registration!!!!!!!!!!!!!!!!   Entries NOT ACCEPTED after March 12, 2005! Registration will be cutoff at the maximum of sixty six entries determined by postmark. Fill in this form and mail  with entry fee to: Candi Miller, Registrar;   7801 Cottingham Court;   Citrus Heights,  CA 95610.
ENTRY FEE: $75.00  
Make checks payable to S.C.C.A.. Questions call: Ray Miller (916) 726-5833
 
Name:
Address:
City/State/Zip:
Phone Nu E-mail Address
Drivers Lic No.:  State
Emergency Contact 
/ Relationship? 
at Event Site? Phone #
Additional Driver:
Additional Drivers for the same car must submit separate completed forms (and fees) with that of the 
primary driver. No more than two drivers per car. 
Car info: Year  Make 
Model  Color 
Driver's Signature
Date