Checkers AC PR
Use this form for submitting Personal Records (PR s) or Out -of-Town Race Results.

Remember: Certificates can only be requested for Life-Time PR s ( NOT for Age-Group or Course PR s ).

Member Name *
Your answer
Race Name *
Your answer
Race Date *
Your answer
Race City *
Your answer
Race Distance
Your answer
Clock Time *
Your answer
Chip Time
Your answer
Overall Place *
Your answer
AgeGroup Place
Your answer
AgeGroup
Your answer
Gender Place
Your answer
Gender *
PR Type *
Certificate
Link to Results
Your answer
Address
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.