THE BIG1 Registration Form
Please fill out form and mail to: The Big 1 5563 Wayne Road DuBois, PA 15801
Each kart must have separate
registration. You may register more
than one time.
Burris slick tires only, mufflers required,
Burris engine rules
Please type all
information in, print and mail to address above
Personal Information
Name
Street
City
State
Zip
Phone
Kart Registration/Pit Passes
Kart
Number - no letters
First Choice
Second Choice
Third Choice
BIG 1 Registration
$125.00
Total $
Total $
Total $
Total $
Saturday Pit Pass -
$15.00
Total $
Total $
TOTAL
PAYMENT:
Payment
Type: Check/Money Order/Credit Card
Credit Card Number exp:
