2025 All-Star Pavement Midgets Entry Form
Please Note: If either the payee or driver changes teams or cars on any date, then a new form will need to be filled out with a corresponding W-9 Form. Race Days for the 2025 Season are May 23rd, June 26th, August 14th, and October 18th.
Entry Name
*
Ex: IRP Racing
Car Number
*
Note: If two drivers submit the same car number, the earliest entry submitted will have priority for that car number. A letter may be added to the car number if we have two drivers submit the same car number.
Drivers Full Name
*
First Name
Last Name
Drivers Email
*
example@example.com
Drivers Phone Number
*
Please enter a valid phone number.
Drivers Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Driver Headshot/Photo
Browse Files
Drag and drop files here
Choose a file
If possible, please submit a driver headshot or photo.
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of
Drivers Emergency Contact
*
First Name
Last Name
Drivers Emergency Contact Phone Number
*
Please enter a valid phone number.
Who Will Be Receiving The Prize Money? (Must Match W-9)
*
Please Select
Car Owner
Driver
Other
Car Owner/Person Receiving Prize Money (Non-Driver Only)
First Name
Last Name
Car Owner/Person Receiving Prize Money Phone Number
Please enter a valid phone number.
Car Owner/Person Receiving Prize Money Email
example@example.com
Car Owner/Person Receiving Prize Money Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
W-9 File Upload
Browse Files
Drag and drop files here
Choose a file
https://www.irs.gov/pub/irs-pdf/fw9.pdf
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SS or Tax ID#
Team Point of Contact (If none, please use Driver or Owner)
*
First Name
Last Name
Team Point of Contact Phone Number
*
Please enter a valid phone number.
Team Point of Contact Email
*
example@example.com
Engine Type
*
Please Select
Stock Ford Focus 2.0L Zetec
Ford Focus 2.0L Zetec with cams
Ford Focus 2.0L Zetec with cams and pistons
Ford Focus 2.0L SVT with pistons**
GM Ecotec 2.4L 30-degree Max layover Wet Sump
GM Ecotec 2.4L 30-degree Max layover Dry Stump
** The Ford Zetec SVT engine is permitted for drivers weighing greater than two-hundred pounds (200lbs). The driver will be weighed without race gear and must weigh at or great than 200lbs in order to use the Ford Zetec SVT engine.
Sponsors (If Appicable)
Additional Comments/Information
Submit
Should be Empty: