49th Annual International 500 Snowmobile Race
Official Entry Form
January 30th-February 4th, 2017
(NOTE: ALL Rider/Hot Pit Members MUST be 18 years of age & Older)
(THE ORDER OF OFFICIAL AND VALIDATED ENTRIES RECEIVED WILL ALSO SERVE AS THE FIRST ROUND QUALIFYING ORDER FOR TUESDAY, JANUARY 31ST, 2017
FIRST TEAM REGISTERED = FIRST TEAM ON THE TRACK AS LONG AS THE TEAM HAS PASSED PRE-QUALIFYING TECHNICAL INSPECTION)
Primary Rider Name
Requested Sled Number
Alternate Sled Number(s)
(Up To 3) (??/???/??)
Division(s) Racing
(Check All That Apply)
I-500 & Woody's Challenge
I-500 ONLY
Woody's Challenge ONLY
Brad Redman Memorial (G.L.A.S.S.)
Primary Sponsors
(Up To 3)
Associate Sponsors
(As Many As You Have)
Career Achievements / Championships
Career Accomplishments, Series/Track Championships, Major Wins, etc.)
Primary Rider Date of Birth
Primary Rider Address
Canada
Mexico
United States
Primary Rider Phone
Primary Rider Email
Rider #2 Information
Rider #2 Name
Rider #2 Date of Birth
Rider #2 Address
Canada
Mexico
United States
Rider #2 Phone
Rider #2 Email
Rookie
Yes
No
Rider 3 Information
Rider #3 Name
Rider #3 Date of Birth
Rider #3 Address
Canada
Mexico
United States
Rider #3 Phone
Rider #3 Email
Rookie
Yes
No
Rider 4 Information
Rider #4 Name
Rider #4 Date of Birth
Rider #4 Address
Canada
Mexico
United States
Rider #4 Phone
Rider #4 Email
Rookie
Yes
No
Sled Owner / Team Information
Sled Owner Name
Team Name
(Optional)
Sled Owner / Company Address
Canada
Mexico
United States
Sled Owner / Company Phone
Sled Owner / Company Email
Sled Make
Sled Model
Sled Year
Sled Serial Number
(Recommended)
Motor Make
Motor Size
Motor Serial Number
(Recommended)
Entry Fee
(Check ALL That Apply): NOTE: The Order of Official Entries received WILL ALSO SERVE AS THE FIRST ROUND QUALIFYING ORDER FOR TUESDAY, JANUARY 31ST, 2017 ---- First Team Registered = First Team on the track as long as the team has PASSED Pre-Qualifying Technical Inspection) ---- (REGISTRATION DEADLINE IS FRIDAY, JANUARY 27th, 2017)
Primary Rider ($525.00)
Rider #2 ($50.00)
Rider #3 ($50.00)
Rider #4 ($50.00)
Woody's Challenge ($125.00)
Brad Redman Memorial (G.L.A.S.S.) ($125.00)
Verification
SUBMIT FORM