REGISTRATION FORM
PURPLE POWER RACING SERVICES 
2575 US Highway 150 W
Stanford, KY 40484

859-321-4377

Check box to register for April 5,6,7, 2017 Trainers' Exam Prep Class


Please sign me up for April 5-7 Trainers' Exam Prep Class at Lone Star Park, Grand Prairie, Texas


NAME    ADDRESS:

CITY:     STATE:   ZIP:

PHONE:     CELL PHONE:

EMAIL:


Do you currently have a Racing License?   If YES, what kind?

Have you ever taken a Trainers' Licensing Exam before?   If YES, when?

When you are done press the Submit button below.  You will be sent an email confirmation of your registration. About one week before this class you will be sent specific information regarding class location, parking, etc.