Driver Information Sheet

Highland Speedway

2024 Driver Information

 

Class: ________________________________________________________   Car #______________

 

 

Chassis/Make: ______________________________________________________________________

 

____________________________________________________________________________________

First name                                                                                                                                   Last name

_____________________________________________________________________________________Street                                                                           City                                                           State                        Zip

_____________________________________________________________________________________

Cell phone #

_____________________________________________________________________________________

Email address

 

____________________________________________________________________________________

Winnings go to:

 

 

___ Rookie of year

 

I have read the Highland Speedway track rules, the Bi-State Battle rules and/or the UMP rules, and my division rules and will abide by them.

 

_____________________________________________________________________________________

Driver’s Signature                                                                                                                                                   Date

Bottom to be filled out by Highland Speedway:

Paid: __________________ Check # _________ or cash __________
___ W9 turned in		___ UMP membership