Registration

If you prefer, you may download the

Courthouse Classic Registration Form


  1. Security Verification Required (Case-Sensitive)
  3. (required)
  4. (required)
  5. (required)
  6. (required)
  7. (required)
  8. Gender


  10. (required)
  11. (required)
  12. WAIVER TO BE SIGNED DAY OF RACE
  13. PAYMENT MUST BE RECEIVED BY 6/19/08 TO QUALIFY FOR "PRE-RACE" ENTRY
  14. Send Payment to:
  15. Miller's Market Office Attn: Connie
  16. P.O. Box 240
  17. LaGrange, IN 46761
 

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