After submitting this form, you will receive an email confirming your registration
   and allowing you to fill out the information for the kid(s) you would like to register.
   
Parent First Name: *
Parent Last Name: *
Address 1: *
Address 2:
City: *
State: *
Zip Code: *
Parent Email: *
Phone Number: *

By joining I understand that I will be receiving communications regarding the Chicagoland 
Speedway Kids Club.

Agree?: *