1.Are you joining as a single or couple

Single - $150

Couple - $200

Family - $220

2.What's your Full Name?

3.What's your partners and/or kids names

4.What's your email address

5.What size shirt do you prefer

KIDS

XS

Small

Medium

Large

X-Large

2XL

3XL

4XL

5XL

6XL

6.What made you join Klub Kirtland

7.Would you like free tickets to a race meeting this upcoming season?

Yes

Maybe

No

8.Would you like to receive a monthly update?

9.Payment method

Bank Transfer

Cash

Pay for a registration directly

10.Consent: Do we have permission to post you name as a supporter?

Yes

No