airgate

Simply print, then write your required information legibly, thanks!

Once your registration form is complete, mail it along with a check or money order (sorry, no PayPal) payable to Honda S2000 Club/Carolina Region for the amount of YOUR registration and send to:

Raul Alvarez
Attn: DragonBall Run 5
126 Little Lake Circle
New Bern, NC 28560

Any questions about this event?
ralvarez@suncom.com - Email
252-349-9680 - Wireless

REGISTRATION for this event ENDS on August 12th, 2005.


Please COPY and PASTE or PRINT this screen, then complete the information by hand (please write legibly - especially your EMAIL ADDRESS!)

Driver/Owner Information

• First and Last Name
  
  
• s2ki.com Screen Name
  
  
• Street Address
  
  
• City/Town
  
  
• State/Zip
  
  
• Contact Number
  
  
• Email Address
  
  
• Your T-Shirt Size? (only S-XXL available)
  
  
• Emergency Contact Info (Name and Number)

Passenger/Guest Information

• First and Last Name
  
  
• s2ki.com Screen Name (if applicable)
  
  
• Guest T-Shirt Size? (if applicable)

Information on Your S2000

• S2000 Color (EXTERIOR/INTERIOR)
  
  
• Model Year
  
  
• PLEASE SIGN HERE confirming you have read the Liability waiver

Liability waiver - simply said, this event is organized as a benefit to the owners and drivers of Honda S2000 roadsters. This event in no way implies insurance coverage and you are reminded that we are on public roadways, subject to the laws of that specific state and county. In no way can the event organizer be held responsible for any mishaps that may occur and can not be liable for any damages.