2009 Driver Information and Registration
Pre-Registration is $20.00
{must be postmarked before April 1, 2009}
Registration at the gate will be $30.00
Pit Pass $25.00 per person {all ages}
IMCA MODIFIED STOCK HOBBY STOCK AND
ECONO MINI STOCK {non-sanctioned}
Race Class _______________________
{Please print or type to make legible to read}
Driver’s Name: ________________________ Car # _______Address: __________________________________________
City: ________________ State: __________ Zip: __________
Social Security #: _____ * _____ * _____ Phone #: _________
Age {if minor}: ______ Registration Paid: ________
Email: _____________________________
IMCA MODIFIED/STOCK/HOBBY STOCK license #: _____________
Payee if different then Driver / Name: ___________________________
Address: _____________________________________________
City: ___________________ State: __________ Zip: __________
Social Security #: ____ * ____ * ____ Phone #: _______________
SHERMAN COUNTY SPEEDWAY PO BOX 461 GOODLAND, KS 67735
email:
scscra@yahoo.comwebsite:
www.freewebs.com/shermancountyspeedway