Mazda Driving Associates, LLC
High Performance Driving Application
Virginia International Raceway
Full Course - August 30-31, 2008

Please fill in the application form completely. Your email address is KEY and mandatory for future communications.

Review the participant requirements listed below.
Once you have completed the form, select "Submit Form", you will receive a cc'ed copy of what was transmitted to the registrar and a summary page will appear in your browser. Please print out the success page if paying by check and mail the completed page along with your payment, payable to "MDA, LLC".

Mazda Driving Associates, LLC
P.O. Box 1092
Springfield, VA 22151-0092
Updated: May 1, 2008
First Name:
Last Name:
Email Address (required):
Street Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Emergency Contact (name and phone):
   
Vehicle to Register:
Manufacturer Model Year Color
Number of Track Events (count 2 day schools as 1):
Number of Track Events on VIR (count two day schools as 1):
Self Rated Experience level
(Novice (0-2 schools), Beginner (3-6), Intermediate (7-15) or Advanced (15+)):
   
List any modifications to vehicle:
How did you hear about our track events? Thanks, this helps.
Amount included:

  • The track event is held rain or shine
  • Participants must be 18 years of age
  • Possess a valid drivers license and maintain current automobile insurance.

    • Rollbar required for Open Cockpit/Convertibles: Four point (or better) rollbar with substantial rearward bracing that passes through the decking and bolts to the uni-body structure of the vehicle itself required. Rollbars are not required for Coupes or Sedans. Your helmet may not exceed the height of the rollbar. Rollbar questions should be resolved well in advance of the event.

    VIR requires reimbursement for property physical damage or materials consumed by an individual. This charge is passed along to the participant incurring the charge. This is typical of driver education events.

    August 30-31, 2008 VIR Full course fees: