2016 US Formula 1000 Championship Driver Registration Fee
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Driver/Team Information
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| Fields with a * are required, the rest may be left blank if information is unavailable. |
| *Driver Name |
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| *Email |
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| Team Name |
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| *Street Address |
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| *City |
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| *State/Province |
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| *Zip/Postal |
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| *Country |
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*Mobile Phone#
(For trackside contact) |
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*May we contact you trackside via SMS? |
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| Age of Driver |
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| SCCA Member # |
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| Sponsors |
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| Sponsors |
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Submit a Picture of yourself for use with
our online Driver Profile section
(Less than 1MB, gif,png, or jpg only.)
Headshot preferred - If desired we can crop photos to the shoulder area for you.
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Describe some highlights of your racing career and achievements.
This will be shown on your Driver Profile for our series.
Click Here to see our current driver lineup page.
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| Car Info |
| Chassis |
| ● Make |
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| ● Model |
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| ● Year |
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| Engine |
| ● Make |
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| ● Year |
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| ● Builder |
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| Car AMB Transponder # |
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Submit a picture of your car for use with
our
online Driver Profile section
(Less than 1MB, gif,png, or jpg only.)
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| Championship Shirt Selection |
*Select size of your driver's free Series T-Shirt
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Type in Quantity Additional T-shirts ($15 ea)
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| Note: Additional T-Shirts can also be purchased after registration as well. Please contact the respective series coordinator for more info. |
| *How would you like to pay?
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| Please enter your name below. |
This signature indicates your willingness to comply with all rules and such changes as may be instituted during the course of the 2016 season.
In consideration of the awards posted for this championship, the Entrant/Driver nominated agree to permit US Formula 1000 Championship and their assigns, the use of their name, voice and/or likeness for news, publicity, and feature use including radio, television, newspapers and magazines, and in connection with advertising and for purpose of trade. |
By checking this box you certify that you will exclusively run Hoosier tires at all series events & display all decals, suit patches & trackside banners etc as required by the series. Failure to do this will result in ineligibility for series contingencies, prizes, or points. |
*Driver/Team owner
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*Date Submitted
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*To submit this form, please
enter the characters you see in the image
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