Registration Form

Online registration is now closed. We will still be accepting registrations all weekend long at the track and at the hotel. You may still use this form to calculate your total but you can no longer register through the website. We will be excepting cash or check only if registering in person. Please note there is also a $25 late registration fee that will be added to your registration if registering for a track event.
First Name:
Last Name:
Street Address:
City:
State:
Postal Code:
Country:
Phone Number: - -
Email:
Are you driving to the event? Yes
No

What type of vehicle will you be driving? My Car
Rental Car
No Vehicle
Model Year
Model

Motorsports Events: $125 for Lapping (for Friday and Saturday combined), $50 for Drifting, $50 for Rally

Road Course No Road Course Choose this option if you choose not to participate in the Road Course event.
Beginner Choose this option if this will be your first time on a racetrack, or have little experience and would like an instructor.
Intermediate Choose this option if you have participated in at least 1 track event before and feel comfortable taking your car on the track without an instructor.
Advanced Choose this option if you have participated in multiple track events, are very comfortable on the track with no instruction, and can act as an instructor to Beginner drivers.

Drifting (Saturday Only) No Drifting Choose this option if you do not wish to participate in the Drifting events.
Drifting Choose this option if you do wish to compete in drifting.

Rally No Rallycross Choose this option if you do not wish to participate in Rally X.
Rallycross Choose this option if you do wish to participate in Rally X. *Please note this is an off-road course

T-Shirts: Quantity
SM $15 each
MD $15 each
LG $15 each
XL $15 each
2X $16 each
3X $17 each
4X $18 each

How many raffle tickets would you like to purchase? $3 each, 20 for $50, or 50 for $100

Would you like to participate in the car show? Yes $15
No

How many picnic tickets do you need? $15 per person
If you experience difficulties with registering, have any questions, or need to modify your registration, please email us at registration@nissanconvention.com

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