2026 Corvette Club of Iowa Firecracker Autocross 1901 Bell Ave, Des Moines, IA 50315 July 18 & 19, 2026 2026 Firecracker AutocrossHow many Drivers? One Driver Two DriversDriver #1 InformationDriver #1 First NameDriver #1 Last NameDriver #1 Mobile NumberDriver #1 EmailDriver #1 AddressAddress Line 1Address Line 2CityState9-Digit Zip CodeIs Driver #1 an NCCC Member? Yes NoDriver #1 NCCC #Driver #1 Permanent Number (if applicable)Driver #2 InformationDriver #2 First NameDriver #2 Last NameDriver #2 Mobile NumberDriver #2 EmailDriver #2 AddressAddress Line 1Address Line 2CityState9-Digit Zip CodeIs Driver #2 an NCCC Member? Yes NoDriver #2 NCCC #Driver #2 Permanent Number (if applicable)Emergency ContactPlease indicate who to contact in case of an emergencyFirst NameLast NameRelationMobile NumberCar InformationYear of CarModelNCCC Class - NCCC RulebookPlease list any modifications that may affect your car's classificationEvent PricingJoin the Corvette Club of Iowa to get the best pricing & priority racing. Saturday Events:NCCC Members - $75.00Non-Members - $85.00Sunday Events:NCCC Members - $75.00Non-Members - $85.00Saturday & Sunday Bundle:NCCC Members - $140.00Non-Members - $160.00 My Event SelectionsFill out the section below for Matching Times & Autocross.Driver #1 Race Selections Saturday Events Only - 7 Events, Driver #1 - Member Sunday Events Only - 7 Events, Driver #1 - Member Saturday & Sunday Bundle - 14 Events, Driver #1 - MemberDriver #1 Race Selections Saturday Events Only - 7 Events, Driver #1 - Non-Member Sunday Events Only - 7 Events, Driver #1 - Non-Member Saturday & Sunday Bundle - 14 Events, Driver #1 - Non-MemberDriver #2 Race Selections Saturday Events Only - 7 Events, Driver #2 - Member Sunday Events Only - 7 Events, Driver #2 - Member Saturday & Sunday Bundle - 14 Events, Driver #2 - MemberDriver #2 Race Selections Saturday Events Only - 7 Events, Driver #2 - Non-Member Sunday Events Only - 7 Events, Driver #2 - Non-Member Saturday & Sunday Bundle - 14 Events, Driver #2 - Non-Member By checking this box, I understand 1. All entrants MUST completely and truthfully fill out this registration form. All entrants eighteen (18) years and older MUST also sign the RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT and any other release documents which maybe required by NCCC. Entrants younger than eighteen (18) years old must have a parent or legal guardian present and submit a properly completed PARENTAL CONSENT, RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT and a MINOR'S ASSUMPTION OF RISK ACKNOWLEDGMENT and any other release documents which may be required by NCCC. 2. All drivers MUST be properly licensed per Section 1.7.1 (Eligibility to Compete) of the NCCC Rulebook.Subtotal$Online Processing FeeIn order to keep the costs low for our non-profit club, a processing fee of 2.9% + 30 cents will be applied to all online payment transactions.Processing Fee$No payment items has been selected yetPay with Card (Stripe)Pay Now - -