Race Entries ARE NOT
Transferable or Refundable!

Crew Tickets ARE transferable but not refundable.

Submission of this form does not guarantee entry into the Haltech Hail Mary Derby presented by Wiseco. By completing this form, you understand that you are only submitting this information to MBP Events to be placed on the waiting list for the Derby. If you are chosen to be entered in the event, you will be contacted by the phone number you provided to purchase the $300 Racer Entry Fee as well as the admission for up to 9 Crew Members for your team at $50 each.