NSS - 602 Modified Driver Entry

North-South Shootout - 602 Modified Driver Registration

Register before Nov 3rd to avoid any Late Fees!
2026 North-South Shootout

602 Modified Race Information

Race Date: Saturday, November 7th, 2026

602 Modifieds Race - 75 Laps

Tires: Hoosier F-45*'s - 4 Tire Race

Fuel: SUNOCO - Must purchase min. 5 gallons at the track

Entry Fee: $100 - $50 Late Fee Applies to those who do not register by Nov. 3rd.

Full Entry Blank

Weekend Schedule

Fillable W-9 - A NEW, COMPLETELY FILLED-OUT W-9 MUST BE SUBMITTED IN ORDER TO RECEIVE PAYOUT
Driver Information
Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Payout Information

Please enter the information below for who your check should be made out to after the race. A NEW FILLED OUT W-9 MUST BE SUBMITTED VIA THIS FORM OR AT CHECK IN IN ORDER FOR YOUR PAYOUT TO BE SENT.
Full Name or Company Name for Check
Address for Check to be Mailed to

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
W-9 Upload

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Car Information
Car Number
Race Team Name
Chassis Builder
Engine Builder
Sponsors
Please upload a photo of your car for us to use for promotions for the race.

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602 Modifieds Entry Fee

$100.00

Enter coupon

Total

Credit Card

Apple Pay

Google Pay

Cash App Pay

ACH Bank Transfer

North-South Shootout - 602 Modified Driver Registration