HotterNHell Registration Form

Northern Virginia Corvette Club
HotterNHell Registration Form
Friday, July 10th 2009 – 7 AM-5:30 PM
Summit Point Main Circuit – Summit Point, WV
RAIN OR SHINE

Instructions: Please review the participant requirements below and fill in the application form completely. Your email address is KEY and mandatory for future communications. Please be sure your email address is entered correctly or your application will not be transmitted. You will receive several emails with pertinent data you need prior to the event. Once you have completed the form, select "Submit Form", you will receive a copy of what was transmitted to the registrar and a summary page will appear in your browser. Then, click on the PayPal button to transmit payment for the event. You will receive a receipt for your PayPal payment via email. These steps are necessary in order for you to be registered.

Registration by June 10th is strongly encouraged. Open to 75 slots (25 per run group – novice, intermediate, and advanced). Registration is on a first come, first served basis and will close on July 3rd. No refunds after July 3rd.

First Name:
Last Name:
Email Address:
Street Address:

City:		State:		Zip Code:
Home Phone:		Work Phone:		Mobile Phone:

Vehicle to Register:
(No trucks, vans, or SUVs, please)

Manufacturer	Model	Year	Color

Vehicle Modifications:

Self-Rated Experience Level:

Track Events Attended:
(Include total # attended & list where/when details)

INSTRUCTORS ONLY:
(Instructor experience, specify which organizations you instruct for)

How did you hear about this event?

PARTICIPANT REQUIREMENTS:
Event fee is $185 for students, and free for instructors (instructors must still register, NVCC determines qualifications)
Must be at least 18 years of age, possess a valid drivers license, and maintain current automobile insurance
Long pants, long sleeved shirt, and closed toe shoes
Helmets SA 2000 or newer; motorcycle helmets are NOT allowed. Helmets can be rented at www.ogracing.com
Vehicles must be pre-teched at a qualified shop – see our Tech Form for details
Vehicles must be equipped with a mounted fire extinguisher
Convertibles must be equipped with a 4-point roll bar; roll bar questions should be resolved well in advance of event
No timing equipment allowed

If you have any questions about this event, please email mneblett@crowell.com or ms.greywolf@gmail.com
If you have difficulty completing the online registration, please email webmaster@nvcorvetteclub.com