Print and mail this form before January 15, 2010.

You may also scan and email form or email answers to: tory@torychristopher.com

This will serve as a reservation. You will be contacted as to the date and time of the workshop.

Space is limited. Reservations on a first come first serve basis.

Workshop will be held at Thunderhill Raceway - Kyle, TX

Driver Name:_______________________________ Age: ____ Nickname?_____________________

Parent[s] name [if driver under 18]:_____________________________________________________

Division/Series or Type of Racing:______________________________________________________

How long have you been racing?_______________ What is your team name? __________________

What is your car number? ______ Who is your primary sponsor? _____________________________

What other types of racing have you done? ______________________________________________

Have you won races, championships or other honors? [ ] Yes [ ] Not Yet [ ] I'm always on the podium!

If so, what honors have you acheived?__________________________________________________

What has been your BEST racing experience? ___________________________________________

_________________________________________________________________________________

What has been your WORST? ________________________________________________________

What do you like the MOST about being a driver? _________________________________________

_________________________________________________________________________________

What do you like the LEAST? _________________________________________________________

What makes you a good candidate for a national/international race series or sponsor? ____________

_________________________________________________________________________________

Where do you think you can use the most improvement in your public image as a racer? __________

_________________________________________________________________________________

If you could drive in any series you wanted, anywhere in the world or any kind of race car, what would it be? ____________________________________________________________________________

If you could join any well known race team, who would you join? _____________________________

If you had a choice of any sponsor, what company would you choose? _________________________

Why do you think that company would be a good fit for you? _________________________________

_________________________________________________________________________________

Your Contact Information: Phone Number[s]: [ ] - [ ] -

Your Email Address: ________________________________________________________________

[email will be used for updating workshop information]

Who is your primary contact? [ ] Self [ ] Parent [ ] Other/Name: __________________________

This form will serve as an application for a reserved spot in the Driver Image Workshop. Space will be limited and reservations will be on a first come first serve basis. Each driver will have two [2] passes to accommodate a parent, partner, relative or friend.

Mail This Form To: Tory Christopher, 101 National Blvd., Universal City, Texas 78148

Or scan and email to: tory@torychristopher.com