UYRS Application 2023
Please fill out this application to apply for the Urban Youth Racing School "Build A Dream" Program

PLEASE DO NOT FILL OUT THE APPLICATION IF YOU CAN NOT COMMIT TO ALL THE DATES OF THE PROGRAM. ONCE THIS SESSION IS FULL YOU WILL BE PUT ON A WAITING LIST FOR THE NEXT SESSION.  

If your application is accepted you will receive an email to let you know what you need to bring in to the UYRS office to complete the registration process.

Ages 8- 12 Class time 9 am - 12noon

Ages 13 - 18 Class time 12:30 PM - 3:30 PM

RACE TRACK - everyone 8am - 12noon

Class Schedule will be emailed. 

PLEASE NOTE IF YOU ARE ACCEPTED IN THE PROGRAM YOU WILL NEED TO FILL OUT AN ADDITIONAL FORMS AND GO THROUGH AN INTERVIEW PROCESS.

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Email *
Date *
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Parent First And Last Name *
First and last name
Parent Mailing Address *
Parent Email *
Parent Phone number *
Student Name *
Student Gender *
Required
Student Age *
Student Date Of Birth *
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Name Of School Student Attends *
Grade Level *
Are You Interested In Car Racing? *
Are You Interested in Science Technology Engineering & Math (STEM)? *
Do You Have Internet Access *
How did you find out about UYRS? *
If you selected OTHER ABOVE please let us know from where below. *
A copy of your responses will be emailed to the address you provided.
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