November 8, 2025 - Krush 250 Late Model Stock Car Entry Form
COMPETITOR INFO
Krush 250 Event and Competitor info
HERE
.
Driver Name
*
First Name
Last Name
Nickname
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Driver Hometown
*
City and State
Driver Home State
*
City and State
Car Number
*
Please Select
00
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0
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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 Owner/Team Name
*
(ex. Camry)
Chassis
*
(ex. Toyota)
Car Make & Model
*
(ex. Camry)
Sponsors
*
Please list in order of primary to secondary and so on.
Upload a photo of the car you will race in the event (will be used for event marketing) *not required, but appreciated
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Upload a driver candid photo (will be used for event marketing) *not required, but appreciated
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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
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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.
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of
Signature
By signing, I certify that all information above is accurate to the best of my knowledge.
Submit
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