MIKA Membership Registration

* indicates a required field

Personal Information

Driver's Name *

Email *

Street Address *

Address Line 2

City *

Province *

Postal Code *

Country

Phone #1 *

Phone #2

Date of Birth *

Age *

Drivers under 18 require an Associate Member (parent/guardian). A $50.00 + HST Associate Member fee applies and is included in your total below.

Associate Member's Name

Associate Member's Date of Birth

Are you a Rookie? *

Yes No

Classes

1st Entry ($195.00 + HST) *

Kart Number (1st Entry) *

2nd Entry ($125.00 + HST)

Kart Number (2nd Entry)

Additional Family Driver

Add an additional MIKA family driver

Driver's Name *

Date of Birth *

1st Entry ($125.00 + HST) *

Kart Number (1st Entry)

2nd Entry ($100.00 + HST)

Kart Number (2nd Entry)

Additional Options

Please visit our store for additional options such as Paddock Spot Reservation and Seasonal Practice Pass.

Payment

Card Details *

Subtotal$0.00

HST (13%)$0.00

Total$0.00

Registration Received

Thank you — your MIKA membership registration and payment have been submitted. You'll receive a confirmation email shortly.