Register for the Northern Trust Celebration of Speed

This Concours charity event will be held at Autobahn Country Club in Joliet on Friday, June 4, 2010. You will receive a registration packet upon arrival. All drivers will be required to bring a valid driver’s license and proof of insurance, and will be asked to sign a waiver upon entry. You will be responsible for the safety and mechanical condition of your own vehicle through a self-tech.

Click here for a map to Autobahn in Joliet. Plan to arrive at 8 a.m. for a driver’s meeting and breakfast. First run group begins at 9 a.m. and ends at 4 p.m. Lunch will be served.

Tickets for the Northern Trust Celebration of Speed charity event on June 4:

• $225 for drivers
• $50 for passengers (all passengers must be accompanied by a driver)

Tickets may be considered a charitable donation (check with your tax advisor). All proceeds go to the Barrington Area Conservation Trust.

Step One: Register

Personal Information (all drivers must be over 18 years of age)

First Name*
Last Name*
Address*
City*
State*
Zip*
Phone Number*
Cell Number*
E-mail Address*
Emergency Contact Name*
Emergency Contact Number*

Car Type

Year*
Make*
Model*
Color*
License Plate Number*
*Required Fields

Run Groups

Which Run Group would you like to participate in? Drivers may be reassigned to other groups based registration and availability. Check one box.

	Group A (Expert): Experienced drivers in track prepared/race cars.
	Group B (Intermediate): Drivers who have attended a driving school or club track days but still want to be in a less intense environment than Group A.
	Group C (Classic Cars): Drivers who wish to drive their classic cars in a laid-back (very strict passing rules) manner without having more modern cars on track with them.
	Group D (Novice): Novice drivers with little or no track experience. Group D drivers will have a mandatory classroom session and will be provided with an instructor for the day.

Are you participating as a driver or a passenger? (separate registration is required for each participant) Check one box.

	Driver ($225 per driver)
	Passenger ($50 per passenger; all passengers must register separately and each passenger must be accompanied by a driver)

Car Number

Do you have a number on your car?	YES    NO
If yes, what is the number?
If no, we will assign a number to you at the track.

Helmet Requirements

Do you have a track-approved helmet (SA00 or SA05)?	YES    NO
If no, there is a limited supply available for rent at $30 per day.
Check here if you would like to reserve a helmet.	YES, reserve a helmet for me.

Clothing

Full-length pants, long-sleeved cotton shirts, cotton socks and full-coverage shoes are mandatory. Highly recommended, but not mandatory, are drivers’ suits, driving gloves, and shoes all made of Nomex or similar fire-resistant materials.

Once you have submitted the form you will be directed to Paypal to purchase your ticket.