2007-2008 Nasgrass Season

This membership form is used for Publicity, Race Program, Press Releases, Etc. We do NOT disclose your personal information unless it’s for Media, Medical, or Insurance mattter.

Membership Information:

Medical Information:

Racing Information:

Please list below what classes you will be racing in.KS Kids Stock (7-11); JP Junior Production (12-16); Drags; Stock; Super Stock; Ladies; Seniors; Outlaw F/H; Outlaw O/H; Outlaw Twins

I hereby certify that all statements and answers provided on this form are complete and true to the best of my knowledge and agree to abide by the rules as outlined in the official Nasgrass Inc., published rule book.

Membership dues will be collected at the start of the season. At that time you will sign the hard copy of information provided on this form. If any information changes during the season please update information as soon as possible.