Northern Virginia Corvette Club
Sir Isaac Newton's Totally Awesome Teen Driving School Registration Form
Saturday, May 1st, 2010 – 7 AM - 4:30 PM
Old Dominion Speedway
10611 Dumfries Road – Manassas, VA 20112
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 may 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.  These steps are necessary in order for you to be registered.

Early registration is strongly encouraged.  Corvette club membership is not required.  Open to 48 slots.  Registration closes on Wednesday, April 21, 2010. No exceptions! 

Student First Name:
Student Last Name:
Student Age:
Parent/Guardian First Name:
Parent/Guardian 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

How did you hear about this event? 

PARTICIPANT REQUIREMENTS:
*NO trucks, vans, or SUVs of any type. They are rollover hazards and our insurance WILL NOT allow them. Please do NOT show up in one because we will be forced to decline your entry into the event.
*NO drive-ins or car sharing. Seating is limited!
*This event is FREE (includes pizza lunch) but we collect 25 cents for each cone killed, so please bring plenty of quarters. They will be donated to the charity of the group's choice at the end of the day.
*Students MUST possess a valid learner's permit or driver's license.
*At least ONE parent or guardian MUST stay, attend classroom sessions, and ride with their teen driver.
*Please be on time; those who are late will NOT be able to participate.
*This event runs RAIN or SHINE, please make sure to show up regardless of weather!
*Make certain that you have a full tank of gas and check tires for proper inflation prior to the event.
*Clean everything out of the vehicle prior to arrival, including the items in the trunk. Spare tire and related equipment are OK. There is no place to store the items so please leave them at home.

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