RROCK 2005 Series Entry Form

Event entry fees are $100/event for the Modified Stock Class/Div2 and $150/event for the Legends and Super Modified Classes. 100% payback. There are no series fees.
Event fees are due 2 weeks before each event if you wish to insure a place in that competition.


Team Information

Team # ___________Team name:_______________________________________________

Class: Mod Stock__________ Mod Stock-Div 2__________ Legends__________ Super Modified_________

Driver______________________________________________D.O.B_________________

Address______________________________City____________State_______Zip_________

Phone_________________________Email_______________________________________

Spotter______________________________D.O.B____________

Address_____________________________City____________State_______Zip__________

Vehicle Make____________________Model/Year________________________________

Engine___________________Differential Front/Rear________________________________

Lockers__________________Transfer Case______________Tire Type/Size_____________

Entry Fees included:

Please circle event date(s) that you are paying for:

May 14th or 15th ----------------------------- Sept 10th or 11th ----------------------- Oct 15th or 16th

Modified Stock Class / Div 2 fees included ($100/event) $___________________

Legends Class fees included ($150/event) $_______________________

Super Modified Class fees included ($150/event) $__________________

Only required to pay one event fee at a time. May pay for multi events if you choose.
*Event waivers will be read and signed before each event.

Please mail to:
Rockport Off-Road Park
29268 Jimtown Hollow Rd.
Rockport, IL 62370

or Email to: rorp@irtc.net

An event brochure will be made.
Please send a high quality picture of your rig.