Individual Registration

Please enter information in the form below to process registration for 2025 3 Balls Racing Waterford Hills Charity Event.

First Name *

Last Name *

Phone *

Email *

Preferred Run Group *

Vehicle *

Emergency Contact Name *

Emergency Contact Phone *

Payment Information

Amount

$

Payment Method *

Paypal

Stripe Checkout

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Additional information