DRIVER'S REGISTRATION FORM
DRIVER
FIRST NAME:
LAST NAME:
Phone
Email
ADDRESS:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
DATE OF BIRTH:
YYYY slash MM slash DD
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Date
YYYY slash MM slash DD
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Age
DRIVER'S LICENSE:
DRIVER'S LICENSE PICTURES (FRONT and BACK)
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Select files
Max. file size: 128 MB.
ALLERGIES OR OTHER MEDICAL CONDITION:
PARENT
FIRST NAME:
LAST NAME:
RELATIONSHIP:
ADDRESS:
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Phone
Email
EMERGENCY CONTACT
FIRST NAME:
LAST NAME:
RELATIONSHIP:
Phone
EVENTS
Races
Race Class
Group
FLORIDA RACE EVENTS
SKUSA WINTER SERIES 2025
SKUSA 2025 WINTER SERIES RD 1/2 IAME January 10-12 Orlando Kart Center, FL
SKUSA 2025 WINTER SERIES RD 3/4 IAME February 7-9 Orlando Kart Center, FL
SELECT CLASS BY EVENT
Group 1 IAME MICRO SWIFT 7-10
SELECT CLASS BY EVENT
Group 1 IAME MINI SWIFT 9-13
SELECT CLASS BY EVENT
Group 2 IAME KA100 JR* 12-15
Group 3 IAME X30 JR* 12-15
SELECT CLASS BY EVENT
Group 2 IAME KA100 SR* 15+
Group 3 IAME PRO X30 SR* 15+
SELECT CLASS BY EVENT
Group 2 IAME KA100 MASTER 30+
DO YOU WANT TO RACE IN 2 CLASS ?
Yes
No
2E CLASS SELECTION BY EVENT
Group 2 IAME KA100 JR* 12-15
2E CLASS SELECTION BY EVENT
Group 3 IAME X30 JR* 12-15
2E CLASS SELECTION BY EVENT
Group 2 IAME KA100 SR* 15+
2E CLASS SELECTION BY EVENT
Group 3 IAME PRO X30 SR* 15+
DO YOU NEED EQUIPMENT?
Yes
No
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MOTOR PACKAGES SELECTION - GROUP 1
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1
MOTOR PACKAGES SELECTION - GROUP 2
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1 (based on 5 days)
MOTOR PACKAGES SELECTION - GROUP 3
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1 (1st Class)
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Cal 11
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Cal 12
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Calculation 1
ROK FLORIDA WINTER TOUR 2025
ROK FLORIDA WINTER TOUR RD 1 ROK January 17-19 Orlando Kart Center, FL
ROK FLORIDA WINTER TOUR RD 2 ROK February 14-16 Orlando Kart Center, FL
SELECT CLASS BY EVENT
Group 1 ROK MICRO 7-10
SELECT CLASS BY EVENT
Group 1 ROK MINI 9-13
SELECT CLASS BY EVENT
Group 2 ROK VLR JUNIOR* 12-15
Group 3 ROK GP JR* 12-15
SELECT CLASS BY EVENT
Group 2 ROK VLR SENIOR* 15+
Group 3 ROK GP SR* 15+
SELECT CLASS BY EVENT
Group 2 ROK VLR MASTER* 32+
Group 3 ROK GP MASTER* 32+
DO YOU WANT TO RACE IN 2 CLASS ?
Yes
No
2E CLASS SELECTION BY EVENT
Group 2 ROK VLR JUNIOR* 12-15
2E CLASS SELECTION BY EVENT
Group 3 ROK GP JR* 12-15
2E CLASS SELECTION BY EVENT
Group 2 ROK VLR SENIOR* 15+
2E CLASS SELECTION BY EVENT
Group 3 ROK GP SR* 15+
2E CLASS SELECTION BY EVENT
Group 2 ROK VLR MASTER* 32+
2E CLASS SELECTION BY EVENT
Group 3 ROK GP MASTER* 32+
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Cal 21
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Cal 22
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Calculation 2
DO YOU NEED EQUIPMENT?
Yes
No
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MOTOR PACKAGES SELECTION - GROUP 1
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1
MOTOR PACKAGES SELECTION - GROUP 2
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1 (based on 5 days)
MOTOR PACKAGES SELECTION - GROUP 3
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1 (1st Class)
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ROTAX WINTER TROPHY 2025
ROTAX WINTER TROPHY RD 1/2 ROTAX January 24-26 Orlando Kart Center, FL
ROTAX WINTER TROPHY RD 3/4 ROTAX Jan 31 - Feb 2 Orlando Kart Center, FL
SELECT CLASS BY EVENT
Group 1 ROTAX MICRO 8-11
SELECT CLASS BY EVENT
Group 1 ROTAX MINI* 10-13
SELECT CLASS BY EVENT
Group 3 ROTAX JR MAX* 12-14
SELECT CLASS BY EVENT
Group 3 ROTAX SR MAX* 15+
SELECT CLASS BY EVENT
Group 3 ROTAX MASTER MAX 32+
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Cal 31
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Cal 32
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Calculation 3
DO YOU NEED EQUIPMENT?
Yes
No
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MOTOR PACKAGES SELECTION - GROUP 1
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1
MOTOR PACKAGES SELECTION - GROUP 3
PRACTICE MOTOR PACKAGE (based on 3 days)
MOTOR ACCESSORIES PACKAGE (based on 5 days)
PRACTICE MOTOR COMPLETE PACKAGE ( based on 3 and 5 days)
RACE MOTOR PACKAGE (based on 5 days)
STORM CHASSIS RENTAL PACKAGE (based on 5 days)
ALL-INCLUSIVE PACKAGE STORM 1 (1st Class)
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This field is hidden when viewing the form
Number of race selected
RACE DISCOUNT
$ 0.00 CAD
GROUP DISCOUNT
$ 0.00 CAD
SUIT DISCOUNT
$ 0.00 CAD
Total
MECHANIC AND COACH
MECHANIC AND COACH
I NEED A MECHANIC
I NEED A PERSONAL COACH
Our team will contact you for more informaion about the mechanic and/or the coach request.
CLOTHING
ENERGY-SPARCO RACE SUIT
(not included in the package, extra charge)
595,95 USD (20% OFF with 4+ RACES)
YOUTH (130)
Quantity
Price:
$ 595.95 CAD
Quantity
YOUTH (140)
Quantity
Price:
$ 595.95 CAD
Quantity
YOUTH (150)
Quantity
Price:
$ 595.95 CAD
Quantity
ADULTS (44)
Quantity
Price:
$ 595.95 CAD
Quantity
ADULTS (46)
Quantity
Price:
$ 595.95 CAD
Quantity
ADULTS (48)
Quantity
Price:
$ 595.95 CAD
Quantity
CHOLDREN (50)
Quantity
Price:
$ 595.95 CAD
Quantity
CHOLDREN (52)
Quantity
Price:
$ 595.95 CAD
Quantity
CHOLDREN (54)
Quantity
Price:
$ 595.95 CAD
Quantity
Total
OTHER OPTIONS
ADDITIONAL SNACKS & BEVERAGES
Quantity
$10,00 / per person
Price:
$ 10.00 CAD
Quantity
Total
OTHER REQUEST
OTHER REQUEST
SIGNATURE
DRIVER'S SIGNATURE (requiered for drivers over 18 years old)
PARENT'S SIGNATURE (required for drivers under 18 years old)
DATE
YYYY slash MM slash DD
Please note that all items mentioned in the various packages are the property of Energy Corse Americas LLC and will be loaned to you under the same conditions as an equipment rental. The customer will be responsible for any lost, stolen or damaged items delivered to you as part of the events you have subscribed to through this form.
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