BOAT #:
 
CLASS:
 
SITE:
 
DATE:
NDBA 2010 RACE REGISTRATION

*** NOTICE ***

YOU MUST COMPLETE THIS REGISTRATION FORM
AT YOUR FIRST RACE OF THE SEASON
AND ANY TIME THERE HAS BEEN A CHANGE

PROFESSIONAL CLASSES
$ 300.00
TFH (Top Fuel Hydro)
BAH (Blown Alcohol Hydro)
BAF (Blown Alcohol Flat)
PM (Pro Modified)
PCE (Pro Comp Elim) 		SPORTSMAN CLASSES
$ 250.00
PE (Pro Elim) 8:00 - 8:99
TE (Top Elim) 9:00 - 9:99
BRACKET CLASSES
$ 225.00
ME (Mod Elim) 10:00 - 10:99
SE (Stock Elim) 11:00 - 11:99
RR (River Rescue) 12:00 - 16:00
PWC 1 (Personal Water Craft 1)
PWC 2 (Personal Water Craft 2)


Race: 

Boat Name:    Hull Mfg:    Hydro   Flat   Jet   Outboard

Engine Mfg:    C.I.D.    Blown   Unblown   Nitro   Alcohol   Gas   Nitrous  

Boat
Owner		 Boat
Driver
Owner: 

Address: 

City:       Zip: 

Area Code:    Telephone: 

Select Membership:
SLDBA   SDBA   KDBA   Single Event 		Driver: 

Address: 

City:       Zip: 

Area Code:    Telephone: 

Select Membership:
SLDBA   SDBA   KDBA   Single Event


In Case of Emergency Notify:

Name: 

Address: 

City:       Zip: 

Telephone: 

Relationship: 


*If individual is staying at a local hotel, complete the following

Hotel Name:    Room Number: 

Hotel Address: 

City:       Zip: 

Telephone: 

Driver's License:

Class:    Exp. Date:  /  / 
 

License Issued By:
SLDBA   SDBA   KDBA     Other: 
Have you been Tech'd already in 2010? Yes  No
Comments: