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Annual fee for car owner and driver $25.00 if registered before May 01, 2011 or $30.00 registration fee after that date. No winnings will be awarded unless car owner and driver are registered, and this form is completely filled out. Class: _______________________________ Car umber:_____________________________ Driver Name: _________________________ Street Address:___________________________ Town/City: ___________________________ State: ___________ Zip: ___________________ Telephone - Home: __________________________ Work: ____________________________ Social Security: _____________________________ Driver's percentage of earnings:_______ Driver's Signature: _____________________________________________________________ (By signing this form I verify S.S.# is correct and all info is accurate) Car Owner's Name: _________________________ Address: __________________________ Town/City: ___________________________________ State: _________ Zip: _____________ Telephone - Home: ____________________________ Work: __________________________ Social Security: ____________________________ Owner's percentage of earnings:_______ Owner's Signature: ____________________________________________________________ (By signing this form I verify S.S.# is correct and all info is accurate) Pit Crew Names: ______________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ |
OWENDALE SPEEDWAY |
Track Phone # 989-678-4447 Home Phone # 989-550-9531 |
C/O Owendale Speedway Box 611, Pigeon, MI 48755 |
Driver's Profile at Owendale Speedway |
Class: ___________________________________ Car: ______________________________ Name: _____________________________________________ Age:____________________ Address: ___________________________________________ Birthday:________________ Town/City: _________________________________________ Motor size:_______________ Engine Builder: _______________________________ Chassis Builder:_________________ Car Owner: __________________________________________________________________ Crew Members: ____________________________________________________________________________ ____________________________________________________________________________ Sponsors: (Include town) List main ones first - only two sponsors might be announced at a time. 1. _______________________________________________________________________ 2. _______________________________________________________________________ 3. _______________________________________________________________________ 4. _______________________________________________________________________ Tracks where you compete regularly: _________________________________________ Accomplishments in racing: (track championships, fast time, etc.) 1. _______________________________________________________________________ 2. _______________________________________________________________________ 3. _______________________________________________________________________ Occupation & Location: ____________________________________________________ Name of spouse (if married) and children: _____________________________________ _________________________________________________________________________ Years racing: ______________________ type of cars raced: _______________________ Any further information you would like the fans to know about yourself or your crew: ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ |