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Drag Race
School
"Live your Dream"
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Drag Race School -
Client Application Form
Name _____________________________________
Address ___________________________________
City, State, Post Code _________________________________________
Home phone number __________________ Work Phone number __________________
Mobile phone number __________________ Fax number _______________________
Birth date ____________________ Height _________ Weight _________
Physical condition __________________________________________
When did you see your first drag race at a race track ? ______________
How many times have you been to a drag race ? __________________
Have you ever "lit the top bulb" on the tree ? __________ When ? ______________
What type of car ? ___________________________________________
How
quick did you run ? _______________________________________
Have you ever crewed on a drag race car ? _______ Type ? ___________
If you get your license would you like to compete with your own car ? Y N
If
you won the lottery what type of car would you race ? _______________
Would you make a career of driving a race car ? __________
Do
you want to have your ANDRA license application endorsed Y N
Have you taken your ANDRA required physical examination ? _________
Have you applied for your ANDRA provisional license ? _________
Have you received it ? _______________
Please add any information that can assist us in your attendance at the Drag
Race School
___________________________________________________________________________________
___________________________________________________________________________________
PLEASE TICK ONE BOX
5
I want the group package 5
I want the 1 on 1 package
To
attend the Drag Race School you must be a licensed driver. Please include a
photo copy of your driver’s license with this application.
Credit card number _______-_______-________-_________ Expiry __________
Name on credit card __________________________________
There is a
printed number on the back of your credit card on the signature line.
Would you give
us the last three digits of that number. __________
I
agree to participate in the Drag Race School and agree to the terms of the
liability waiver and approve the credit card charges for this program.
Name (print) ______________________________
Signature __________________________ Date __________________
Please fill out this form and mail or fax or email it to ken@kenlowe.com.au
If not paying by credit card you can make a deposit of $995.00 by check the
check must be made out to Ken Lowe and included with this application. The
balance must be paid in full at least 30 days prior to participating at the DRS.
1. Print out this page. (Ctrl+p)
2. Please fill out the form completely and return it to the Drag Race School.
3. If you don't have a credit card please include your deposit with this form.
Drag Race School
P.O. Box 132, Kingston, QLD 4114
Phone: 0411-699-535
Your pre school info packet will arrive in the mail to you.
- Confirmation letter
- Drag Race School itinerary
- Good driving rules
- Dress for success
- Guest policy
- Simplified starting line procedures
- Brake with your left foot
- Introduction to the race car
(familiarization photos with instructions)
If you
have any questions about our Drag Race School please
feel free to ask at
any time or write your query down below.
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