Registration Form NDRC Registration - Medina, NY November 8-10 Eastern Nationals Wild Ride Motorsports 10775 Ridge Road Medina, New York Phone: 585-798-2266 To reserve your Pit Space, please call the track. A limited number of spaces are available.NDRC 2024 RegistrationName(Required) First Last Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Phone(Required)Email(Required) FRIDAY EVENTS November 8, 2024Friday Pit PassRequired if you attend Friday's events. Pit Pass - Friday 3RD Eye Outlaw No Bar ShootoutPea Pick Qualifying, Single elimination, No buy backs, Two car entry, No double entries,Select QuantityOne CarTwo CarsSATURDAY EVENTS November 9, 2024Saturday Pit PassRequired if you attend Saturday's events. Pit Pass - Saturday Stock/Super StockTwo Car Entry, Pro Pairings, Single Elimination, No Buy BacksSelect QuantityOne CarTwo CarsGasser(immediately following Stock/Super Stock final), Practice 30 minutes, RaceSelect QuantityOne CarTwo CarsTop Eliminator(immediately following Gasser final), Practice 30 minutes, RaceSelect QuantityOne CarTwo CarsSUNDAY EVENTS November 10, 2024Sunday Pit PassRequired if you attend Sunday's events. Pit Pass - Sunday Nostalgia Pro Stock43 entries still availableIncludes Motor, Limited to 50 entries, 8:30am Final Entry and Motor Registration, 9am Practice - one hour Price: QuantityPlease enter a number from 0 to 2.Nostalgia Funny Car44 entries still availableIncludes Motor, (immediately following N/PS final), Half Hour Final Entry and Motor Registration, Practice - one hour Price: QuantityPlease enter a number from 0 to 2.GET YOUR T-SHIRTS Starting at $30, limited quantity available. Shirts ordered can be picked up at the event.NDRC Tee Shirts Quantity Option Total Actions Edit Delete There are no T-Shirts. Add T-Shirt Maximum number of t-shirts reached. Tee Shirt Total Price: $0.00 Subtotal $0.00 Tax (for T-shirts only) $0.00 Total Payment MethodPayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name