If you plan to compete in multiple divisions or with multiple teams, please complete multiple forms. PLEASE PRINT OR TYPE CLEARLY!

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1 TEAM REGISTRATION If you plan to compete in multiple divisions or with multiple teams, please complete multiple forms. DIVISION (circle one) Asphalt Sportsman Modified Dirt Sportsman Modified Asphalt Super Stock Dirt Super Stock Asphalt Mini Stock Dirt Mini Stock Asphalt Late Model Dirt Sprint Car Enduro Series Dirt Mini Sprint DRIVER INFO Name Social Security # Address City St/Prov ZIP/Post Cell Phone OWNER INFO (ASSIGNED OWNER WILL RECEIVE ALL MONEY) PAY TO: SS # -or- Tax ID # Address City St/Prov ZIP/Post Cell Phone CAR NUMBER REQUEST All car numbers will be assigned by Devil s Bowl Speedway. Management will make every effort to accommodate previous car numbers, but changes may need to be made depending on availability. Letters and 3-digit numbers are allowed but may be subject to approval before competition. Car # requested for 2017 Car # used in 2016 Driver (sign) Date Owner (sign) Date

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3 MEDIA INFORMATION Please return as soon as possible Information used for media, rosters, and website. If you plan to compete in multiple divisions or with multiple teams, please complete multiple forms. DRIVER INFO Name Division Hometown Marital Status Children Occupation State/Prov CONTACT INFO Cell Phone Website Are you on Facebook? (Circle one) Yes No Twitter CAR INFO Year Make Model Chassis Chassis Builder Engine Engine Builder TEAM INFO (Please list first AND last names) Car Owner Team Members Crew Chief SPONSOR INFO (Driver rosters will list as many sponsors as space allows) Primary sponsor (list ONE) Secondary sponsor (list ONE) Other sponsors

4 ENGINE REGISTRATION If you plan to compete in multiple divisions or with multiple engines, please complete multiple forms. DIVISION CAR # DRIVER OWNER PHONE PHONE ENGINE INFO Engine Builder Year Built City State Phone Engine Type GM 602 Crate ACT Spec Other: (Circle one) Homebuilt Factory Stock Seal Date Seal Number(s) Driver (sign) Date Owner (sign) Date

5 ROOKIE APPLICATION If you plan to compete in multiple divisions or with multiple teams, please complete multiple forms. Driver Division Phone ELIGIBILITY REQUIREMENTS Drivers requesting Rookie status in 2017 must meet ALL of the following criteria: No more than five (5) feature race starts in current division in any one season No more than ten (10) total attempts to qualify in current division during career No more than one (1) feature race win in current division during career No more than three (3) total feature race starts in any higher division during career Requests will be evaluated on an individual basis, and in rare cases, exceptions may be made. No driver shall assume he/she is eligible for Rookie status or benefits (including Rookie points, prizes, or funds) without receiving official approval from Devil s Bowl Speedway Management. (NOTE: Devil s Bowl Speedway and the NASCAR Whelen All-American Series have separate criteria for rookie eligibility. NASCAR eligibility is based solely on previous Division I membership and does not apply to Devil s Bowl Speedway requirements. Rookie approval by NASCAR does not necessarily mean approval by Devil s Bowl Speedway, and vice versa.) List all previous race experience Signature Date