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Palm Beach Grand Prix Entry Form
Feb 14-17, 2013
Palm Beach Grand Prix
Palm Beach International Raceway
Feb 14-17, 2013
  • Driver must hold a competition license with HSR or VMC recognized organization’s competiton license with a valid medical date. Must include a copy of VMC recognized license with entry.
  • Use this field if not and HSR member
  • - -
  • Car Information

  • Crew Information

    Entry includes Driver and 3 crew spaces. Driver and Co-Driver uses a crew space. All Crew with an Annual Crew card use a crew space at every event whether they are present or not. Overcrew tickets are $45 each.
  • Event Fees

    Race Entry includes 4 racing credentials. Please check each event you wish to participate in. Must enter Race Entry.
  • Includes Fri, Sat, Sun practice, qualifying, and races
  • Must be entered in Dash Race
  • Must be entered in event. No Credit for cancellations after 1/31/13.
  • Includes Test Day
  • Entry received after Jan 25, 2013
  • $ .
  • $ .
  • $ .
  • *SSL Enabled
  • 3 Digits
  • Make Checks payable to HSR
    Mail Entry and payment to HSR
    1005 Parkway Ind. Park Dr.
    Buford, GA 30518
    404 298-5616 (404) 298-6376 - Fax
    www.hsrrace.com - email: judy@hsrrace.com
  • HSR Rules

    The applicant (including crew, driver and car owner) agrees to conform to the rules, procedures and policies of HSR and waives any right to claim against, and covenants not to sue HSR, its officers, directors, employees, agents or any drivers’ committee with respect to the interpretation or application of any rules, procedures or policies.
  • Transponders

    AMB Transponders are mandatory, To purchase or rent an AMB Transponder, please contact Janet Harhay, jharhay@aol.com. Transponder purchase/rental form can be found on the HSR website under “forms�.
  • Cancellations

    In case of entry cancellation, a credit will be issued, less a $50 administration fee. Credits expire after one year from event entry cancellation. No credits will be issued for cancellation of Test Day after Jan 31, 2013. HSR does not issue refunds.