Ringle Brickyard Speedway LLC
		Membership Form:
		All Drivers Must Fill Out a Registration Form					Please print clearly
Kart #:
Name:
Address:
City:
State/Zip:
Class:
Transponder #
Age / DOB
Home Phone:
Emergency #:
E-Mail:
Years Racing:
Hobbies:
Sponsors:
(Use Sponsor form)
	Thank You, Ed & Sandy Drews
Mail to:
Sandy Drews
2306 Whispering Pine Ave
Wausau WI 54403
Checks made payable to the
Ringle Brickyard Speedway LLC

Minor: Any person who is age 17 or under, MUST have a "Minor Release and Waiver of Liability & Indemnity Agreement" form signed, completed and on file with Ringle Brickyard Speedway LLC. Forms are available. Standard release must also be signed upon entry.