2012 Registration Form
Team Lead (Full Name):
University (and/or Sponsor/Club/etc.):
Contact/Mailing Address:
Email Address:
Phone Number:
Faculty/Club/Sponsor Lead (if applicable)
Pick Three Preferred Car Numbers
Who will be the driver?:
Driver Experience (# of years)
Do you have a cart? Do you need assistance building or purchasing one?
Any Other Comments or Questions:
For contact and registration information please contact Steve Dunlop:
dunlops@purdue.edu
CLEAR
SUBMIT
