REVISED

WESTERN SLOPE LIGHTNING SPRINT NATIONALS

Entry Form

Name_____________________________________________________

Address___________________________________________________

Phone 1______________________ 2________________________

E-Mail___________________________________________________

Car #______________note - no duplicate numbers - you may be required to change #’s

Chassis__________________ Engine_________________________

Entry Fee: $135.00

40 Entries must be received by June 15 or we must cancel. All $$ will be returned.

Check/Money Order to: Western Slope Lightning Sprints

4754 5586 Road

Olathe, CO 81425

I have read and understand the Nationals rules and WSLS rules

I have read, signed and returned the adult waiver form

I understand all minors (under 18) must have signed minor form. (Required for all minors in pits)

Signature__________________________________________________

Print Name_________________________________________________