2024 Points Sign Up
PLEASE READ: Please complete this form in this entirety. Any information left blank will prevent owner/driver from receiving earnings until all information is given. Registration Fee is $75. Fees go toward team shirts at bracket finals and a championship payout that is to be announced.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Age (JUNIORS ONLY):
Please Select
5
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Pay Winnings to:
First Name
Last Name
Class:
*
Please Select
Super Pro
No Box
E.T. Sportsman
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Sportsman Junior
Check all that apply:
High School
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None of the above
NHRA Car Number:
*
NHRA License Number:
*
NHRA License Expiration Date:
*
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-
Day
Year
Date
Emergency Contact:
First Name
Last Name
Emergency Contact Phone Number:
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My Products
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Points Registration
$
75.00
Payment Methods
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