Thunderhill-Performance Driving School

Sept 11, 2001

Please note the following:

  • This form requires Netscape Navigator 4.0 or later or Internet Explorer 4.0 or later.  Earlier browsers may not be able to print this form correctly.
  • Be sure to read the entire application (in HTML or PDF) before filling out this form.
  • The purposes of the on-line form are to reduce our keystroke workload and error chances, and to reduce our reliance on the legibility of your handwriting.  It will also speed up your enrollment into the class if you use the accompanying PayPal.
  • Your registration is incomplete until we receive your payment.  When you arrive at the track you should bring a signed copy of this form along with your completed and signed tech inspection.
  • If you do not want to use PayPal, you can either print the PDF version and mail it in manually with your check, or you can fill in the form below, click Submit, then print the confirmation page and send it in with your check.

 
Driver Information
First Name: Last Name:
Address:
City: State:  Zip:
Phone (daytime):
Please include area code first		 Phone (evening):
Please include area code first
Email:
NSXCA Membership Information
I am already a NSXCA member: 
NSXCA #:   Region/Chapter:
I am a member but have no .  You must provide proof of membership by the event.
I wish to apply for membership with this application.  $50 for one year
Car Information

Car make/model:  

Year:              

Car color:Ext:  

Interior:        

Modifications:
Insurance Carrier: Policy number: exp:
Driving School Experience
Previous Track/Driving School Experience  Specify number of schools attended.
ThunderHill Sears Point Autocross Events
Laguna Seca Other Track Schools Car Control Clinic/Safety School
Most Recent School: Date: Location:
Other Driving School Experience:
Other Information
Preferred run group:  
Why?
This is a clear opportunity for us to consider your preference, not a commitment to assign you as you request. If you are sharing a car with other students, each must be in a different run group.  To qualify for the Advanced run group you must be recommended by an instructor from a previous GGCBMWCCA or Sac. Chapter NSXCA school.
Driver you are sharing this car with:
Each driver must submit an application form and mail in the appropriate enrollment fee.
If two of you are attending together, do you wish to be considered together as a single entity, or separately as individuals?  Single entity Separately
As a single entity, either both of you will get in, or both of you will be waitlisted.

Name of other applicant if enrolling as a single entity:  
Note that each applicant must submit a separate application form and enrollment fee.
Will you be available to help with registration at 7:00 a.m.? Yes  No
Please go re-read Section 10 of the application article (HTML, PDF), then confirm that you have read the entire article.

Have you read the entire five-page article that accompanies this application?
Yes  No

Before submitting this application, please review all entries.  You will not have a chance to correct errors once the form is submitted.

NOTE: There will be NO refunds.  Once you are accepted for the school, there will be no refunds of your enrollment fee for any reason!