I – 44 SPEEDWAY

OKC’S Place to Race

2010 RACE SEASON

DRIVER’S REGISTRATION FORM   

(Every driver must turn in a new form each year)

DRIVERS NAME: _______________________Nick Name:__________________

MAILING ADDRESS: _______________________________________________

CITY:________________________  STATE:______________ ZIP:___________

EMAIL:__________________________________________________________

PHONE: ________________ CELL:_______________ FAX: ________________

DRIVER’S DATE OF BIRTH _____________      IF UNDER 16 YOU MUST TURN

IN A COPY OF BIRTH CERTIFICATE WITH DRIVERS REGISTRATION

CLASS:__________________  CAR# 1st choice________ 2nd________ 3rd________

Earnings issued to (select 1):      Driver ___       Owner ___

NAME ON SOCIAL SECURITY CARD: ____________________________

SOCIAL SECURITY # (Required)_____________________________________

1099 Mailing Address_______________________________________________

JACKET SIZE: ________________RING SIZE: ____________________

SIGNATURE: _____________________________________________________

REGISTRATION IS NOT COMPLETE WITHOUT A SOCIAL SECURITY NUMBER AND WILL NOT BE ACCEPTED UNTIL COMPLETE

Mail completed form to I - 44 Speedway at P.O. Box 987, Newcastle, Oklahoma 73065. 

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