Rallycross On-line Entry Form Event Information: Select Event: Entrant Information: First Name: Last Name: E-mail Address: Address: City: Prov/State: Postal/Zip Code: Telephone #: Club Affiliation: Vehicle Information: Year: Make: Model: Engine Size: Drive Train: Front Wheel Drive Rear Wheel Drive All Wheel Drive Tires (Brand/Model): Tire Size: Competitor Information: Class: Prepared All-Wheel/4-Wheel Drive Front Wheel Drive Rear Wheel Drive <\SELECT> Requested Car #: Is this a shared vehicle? No Yes I declare that I am aware of the Vehicle Classification rules and the information given is true and complete to the best of my knowledge. It is understood and agreed that the undersigned and the car described above are to participate / compete under the provisions of the appropriate sections of the current ARMS Handbook and the event's Supplementary Regulations. The Entrant agrees to ensure that he/she, the driver, the owner,and all crew members understand and sign the waiver for this event. This entry is not valid unless the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, ASN-CANADA-FIA INC. form for this event has been signed by all registered herein (driver, owner, and all crew members).