Entry Form - 2026 Krush 250 at South Boston Speedway

COMPETITOR INFO

CLICK HERE to view Krush 250 competitor info and rules.

Driver Name

First NameLast Name

Nickname

Driver Hometown (City, State)

City and State

Driver Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Driver Email

example@example.com

Team Representative Name (Owner, Crew Chief, etc.)

First NameLast Name

Team Representative Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Team Representative Email

example@example.com

Car Number

We understand that there will be duplicate numbers. Priority will go to first entered. A letter added or number change may be required by Timing & Scoring for other cars.

Car Make

(ex. Toyota, Dodge, Chevy, etc.)

Car Model

(ex. Camry, Challenger, Camaro, etc.)

Team Name

(ex. Hendrick Motorsports, Penske Racing, etc.)

Chassis or Car Builder Name

(ex. Hedgecock, R&S Race Cars, etc.)

Sponsors

Please list in order of primary to secondary and so on.

Driver Background Info - Notable Wins, Milestones, Home Tracks, etc.

List any information that will help us tell your story via social media, press releases, other media.

DRIVER ENTRY ANNOUNCEMENT INFO

* When you submit this form to enter this year's Krush 250, you're giving South Boston Speedway/The Ward Burton Wildlife Foundation permission to announce your entry at our discretion via our social media channels and website.

If you want to enter, but DO NOT want your driver announcement to be made public yet, please go ahead and submit your entry, then contact South Boston Speedway General Manager Brandon Brown via email or by phone at 434-572-4947.

Please help us out by submitting the collateral below for marketing and broadcast. It will allow us to market both driver and team properly ahead of and during the event.

Upload a photo of the car you will race in the event (will be used for event marketing) *not required, but appreciated

Upload a driver candid photo (will be used for event marketing) *not required, but appreciated

Upload the design file (can be PDF, EPS, PNG or JPG) of your car's stylized number (the door/roof number) so we can use on promotion and broadcast. *not required but appreciated

DRIVER PAYMENT INFORMATION

Please fill out the W-9 below to receive payment for your participation in the Krush 250. The submitted financial information will be used by The Ward Burton Wildlife Foundation to issue payments after the Krush 250.

* If you have already participated in an event at South Boston Speedway during the 2026 season and would like to use the SAME payment information as previously submitted to South Boston Speedway, please check the box below.

If your financial information is different than what was previously submitted or you are competing for the first time at South Boston Speedway this year, please submit your W-9!

Krush 250 Payment

An IRS W-9 Form is required. Please download the form below using the downward-facing arrow and then upload it in the area provided below. You can digitally complete all fields except signing. Signature is required.

Upload a copy of your W-9 for post-event payout. We will not be able to pay you without an up-to-date W-9.

Acknowledgement

November 14, 2026 - Krush 250 Late Model Stock Car Entry Form