One Form Required Per Vehicle
This tech card only has to be filled out once per year with SWJDS. ALL Tracks are individually owned and reserve the right to require their own technical inspection form.
Driver Name
*
First Name
Last Name
Parent / Guardian Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Driver DOB:
*
-
Month
-
Day
Year
Date
Driver Age (as of January 1, 2025)
*
Car Number:
*
License Type:
*
Please Select
IHRA
NHRA
WDRA
License Expiration Date:
*
-
Month
-
Day
Year
Date
Car Make & Model:
*
Chassis Serial Number:
*
Vehicle Information: Check All Required Items
*
Wheels/Tire/Steering
Fuel System
Belt/Chain Guard
Roll Cage/Helmet Bars
Seat/Floor
Helmet Skirt/Head Sock
Body
Shut Off Device
Rear Light
Roll Bar Padding
Fire Suit
Shoes
Windshield
Weight/Ballast
Crank Support
Leg Net
Gloves
Arm Restraints
Seatbelt Expiration Date:
*
-
Month
-
Day
Year
Date
Helmet Certification Date:
*
Please Select
SA 2015
SA 2020
K2015
K2020
M2015
M2020
SAH2010
24.1/2015
24.1/2020
31.1/2015
31.1/2020
41.1/2015
41.1/2020
FIA: 8860-2010
FIA: 8860-2015
FIA: 8860-2018
Head & Neck Certification Date:
*
-
Month
-
Day
Year
Date
In consideration for being allowed to participate in events organized by Southwest Junior Dragster Series (SWJDS), I affirm that I have read, understand, and agree to be bound by all the rules of the applicable sanctioning body (NHRA, WDRA, IHRA) and SWJDS Rule Book. I agree that I will maintain my car and safety equipment within the rules of the applicable sanctioning body.
*
Driver Signature
In consideration for being allowed to participate in events organized by Southwest Junior Dragster Series (SWJDS), I affirm that I have read, understand, and agree to be bound by all the rules of the applicable sanctioning body (NHRA, WDRA, IHRA) and SWJDS Rule Book. I agree that I will maintain my car and safety equipment within the rules of the applicable sanctioning body.
*
Parent / Guardian Signature
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