Please fill out the form below to begin your SRAC membership.

You must be an AMA member to become a SRAC member. I am not an AMA member
First Name:
Last Name:
Address:
City:
State:
Zip:
Birthdate: Format "01/26/1970"
AMA Number:
Expiration Date: Format "0309" for month and year
Phone Number:
Email Address: Please enter a valid email address as it will be used to inform you of event changes and special events.
Membership Type:
Full Membership: $40.00
Non Racing Member: $15.00
One Day Membership: $25.00
Primary Class:
Division Novice Amateur (B) Pro/Expert Women Vet (over 30)
Age Group Class: 12-16 yrs.
17-24 yrs.
Please check for additional classes. There is a $2.00 charge for each additional class selected.
50cc 4-6 yrs. Class 1 60/65cc 7-9 yrs. Super Mini 12-16 yrs. Girls Class 9-15 yrs. 125cc Super Senior
50cc 7-8 yrs. Class 2 60/65cc 10-11 yrs. Super Mini 12-16 yrs. Quad 70/90cc Vet
50cc 4-8 yrs. Class 3 65cc Combined 12-16 yrs. Big Wheel Youth Quad Youth 13-15 yrs. Senior
50cc 4-8 yrs. Class 4 80/85cc 9-11 yrs. 85cc Beginner 12-15 yrs. 1st year rider 250cc Women
50cc 4-8 yrs. Class 5 80/85cc 12-15 yrs. Quad 50cc Open Quad
Racing Number Desired:
First Choice:
Second Choice:
Check for lowest number available
Check if requesting same number in all classes
Username:
Password:
Re-type password:
I have read and agree with the Release and Waiver of Liability and Indemnity Agreement.
(Click here for a printable copy)
My child is a minor and I have read and agree with the MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT and I will print and send a signed copy of the MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
(Click here for a printable copy)



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