Register Driver

This information will let us know more about you.
To complete the registration. Please have the following available:
Tax information (Social or Tax ID) & Sponsor information.

Driver Information


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Get lineup text messages

Emergency Contact

Information is only shared with EMT staff.

Select all that apply
  1. By filling this form, I understand that the information used or disclosed may be subject to re-disclosure by the person or class of person or facility receiving it, and would then no longer be protected by federal privacy regulations
  2. I may revoke this authorization by notifying the track/series in writing of my desire to revoke it. However, I understand that any action already taken in reliance on this authorization cannot be reversed, and my revocation will not affect those actions

Tax Information

Tax ID Required

Certification

Under penalties of perjury, I certify that:

  1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me); and
  2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding; and
  3. I am a U.S. citizen or other U.S. person (defined below); and
  4. The FATCA code(s) entered on this form (if any) indicating that I am exempt from FATCA reporting is correct.

Certification Instructions. You must cross out item 2 above if you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions for Part II, later.


Divisions Select all divisions that apply
All Options
Super Late Models
Late Models
Sportsman
602 Craters
Super Beez
Slinger Bees
Figure 8's
Legends
Bandoleros
B - Track Barrel Race
Burn Out Contest
Bus Figure 8's
4 Cylinder Figure 8's
Back Up Race
Gauntlet
Trailer Race
Push Car Race
Whoop-Dee-Doo
SelectName Select all that applyQtyPrice
4 Cylinder Figure 8's SF1
1
$20.00
B-Track Barrel Race SF1
1
$20.00
Backup Race SF1
1
$20.00
Burn Out Contest SF1
1
$20.00
Bus Figure 8's SF1
1
$20.00
Gauntlet SF1 ~ SPOTS Remaining: 10
1
$20.00
Push Car Race (Driver 1 pays for BOTH cars) SF1
1
$30.00
Slamfest Crew Pit Pass SF1
$35.00
Slamfest Driver Pit Pass SF1
1
$35.00
Trailer / Float Race SF1
1
$20.00
Whoop -Dee-Do SF1
1
$20.00
zPermit for Utility Vehicle -Utility vehicle(s) MUST have liability insurance (Golf Carts, Utv's, Atv's, Scooters, Mopeds, etc.) SF1
1
$20.00
Line Total$35.00
Processing Fee$3.06
Total$38.06

Media

Just some information for the announcer

Car Information

Slamfest Driver Pit Pass SF1

Crew Information

Consent to follow the rules.


I agree to all rules and terms of the Slinger Super Speedway.
Processing Fee: $3.06
Total: $38.06
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