ANNUAL CONGRESS

ICMS RACE TRACK SAFETY PROGRAM (RTSP) REGISTRATION

SECTION 1: Registration Information

Registration for the Race Track Safety Program (RTSP) MUST be made through the ICMS office only.

IMPORTANT: Registration will close on December 6, 2019. There will be no late registration or on-site registration available. Please make sure to register before the deadline.
Please fill out all the fields, accept terms and hit the send button.
* Required

Last Name: *	SUFFIX/DEGREE:
First Name: *	Middle Initial:
Motorsports Affiliation: *
Address: *
City: *	State/Province: *
Postal Code: *	Country: *
Telephone: (ICMS use only) *	CellHomeOffice
Email Address: *

SECTION 2: Registration Categories

Please select the registration box below and then using the drop-down menu to select your occupation. If your occupation is not listed, select “Other”.

Registration (Deadline is December 6)

Race Track Safety Program $75.00

Registration and SFI Certification (Deadline is December 6)

Race Track Safety Program and SFI Certification $125.00

Occupation

SECTION 3: Payment Instructions

(CHECK PAYMENTS ONLY)

You can pay with a Personal Check or Corporate Check. Make sure your full name is on the memo section. If the check payment is for more than one registration, please complete and submit an online registration for each person. Once the online registration(s) is submitted you will receive an email confirmation. Please print the email(s) and mail it with your check to: The ICMS, 5139 Greenheart Drive, Indianapolis, IN 46237.

SECTION 4: Submitting Registration Information

To submit your registration form for the Race Track Safety Program check the box below and hit the “send” button.

If you have any questions regarding registration or this information, please contact Tom Weisenbach, the ICMS Executive Director at +1-317-956-7803 or by email at tom@theicms.org.

Submitting your registration confirms and acknowledges that you have reviewed and verified the accuracy of your registration information.