High Plains Grand Prix Circuit (HPGPC)
ONLINE ENTRY FORM

Click the link below to see if you are in our database.
If you have raced here before, you should be listed. If you are not listed, enter your information in the blanks below.

CLICK HERE TO SEE IF YOU ARE IN OUR DATABASE

CLICK HERE TO SEE PRE-REGISTERED ENTRIES.

Please Provide The Following Information
First Name:

Last Name:
Address:

City:
State:
Zip Code:
Phone: (Only type in numbers. Example: 8065551234)
Date of Birth: Month: Day: Year:  
E-Mail Address:

 

Please Check All Classes On One Entry
(You may enter up to 6 Classes!)

 

You have registered for the following classes!
(You may only enter into a class once!)
First Name: Last Name: Class: Bike Number:

 

 

IF YOU DO NOT HAVE AN ASSIGNED CIRCUIT NUMBER, CONTACT CODY BOUNDS FOR NUMBERS!

1st Class
(You must select at least one class!)
Class 1 Bike Brand:
Class 1 Bike Number: Use assigned Circuit #
Class 1 Bike Size:

 

2nd Class
Class 2 Bike Brand:
Class 2 Bike Number: Use assigned Circuit #
Class 2 Bike Size:

 

3rd Class
Class 3 Bike Brand:
Class 3 Bike Number: Use assigned Circuit #
Class 3 Bike Size:

 

4th Class
Class 4 Bike Brand:
Class 4 Bike Number: Use assigned Circuit #
Class 4 Bike Size:

 

5th Class
Class 5 Bike Brand:
Class 5 Bike Number: Use assigned Circuit #
Class 5 Bike Size:

 

6th Class
Class 6 Bike Brand:
Class 6 Bike Number: Use assigned Circuit #
Class 6 Bike Size: 
Comments:

 


Copyright © 2009 [High Plains Grand Prix Circuit (HPGPC)]. All rights reserved.
Revised: