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.

Parents First Name: *
Parents 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 Auto
Club Speedway Kids Club.

Agree?: *