Island Speed & Style - Season Registration

First Name

Last Name

Phone Number

Email

Instagram Handle

Home Town

Vehicle - Year, Make & Model

Chassis Type

Mods

Events

All 3 Track Events

Event #1 - Wednesday, June 18th

Event #2 - Thursday, July 8th

Event #3 - Saturday, August 15th

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Selfie

Vehicle Photos / Videos

By submitting this form, you acknowledge and consent to you and your vehicle participating in Island Speed & Style. You understand that any damages or injuries incurred are your responsibility and not that of the Speed And Style Auto Cross Society or the venue property. Additional waivers will need to be signed with the hosting venue for insurance purposes.

Consent to Participate