Online Registration

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2023 ONLINE DRIVER REGISTRATION FORM

CLICK HERE TO DOWNLOAD W9 FORM WHEN REGISTERING

Driver Name(required)

Driver Address(required)

Phone Number(required)

E-Mail Address(required)

Car Number / Chassis / Hometown(required)

Sponsor(s)(required)

Track(s) and/or Series Registering Finishes (Reminder: One Form, But Fee For Each)(required)

Division (Crate Sportsman, Open Sportsman, Pro Stock, or Limited Sportsman)(required)

Car Owner (If Different)

Car Owner Address / Phone Number

CC Information (Name / Card # / Expiration Date / CVV / Zip Code)(required)

Send

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– ATTENTION CANADIAN DRIVERS: Our card reader no longer takes CC’s issued in Canada. We apologize for any inconvenience. Not a problem, we have some other hassle free options. We can take PayPal or CashApp as well as you can send us a money order or check. Contact us with any questions. We look forward to helping you.

– King Of Dirt Racing Sportsman Modified Registration Fee: $50 Per Track and/or $50 Per Division (Crate/Open) and/or $50 Per Series (DIRTcar/STSS)

– King Of Dirt Racing Pro Stock Registration Fee: $50 Per Track and/or $50 Per Series (DIRTcar)

– King Of Dirt Racing Limited Sportsman Registration Fee: $25 Per Track

– INDEMNITY AND RELEASE AGREEMENT: By sending this 2023 registration form the driver hereby agrees to abide by all King Of Dirt Racing scoring and participation rules, regulations, and by-laws. In addition, the registering driver hereby agrees to and understands all stipulations set forth in the indemnity and release section of series rules available on http://www.kingofdirtracing.com and does so under their own free will and voluntarily. Driver also agrees to pay any fees at the time their registration is submitted. Drivers will not be listed as an official entrant to KOD until registration fee(s) are paid.

– Please Be Aware: By sending this online registration form you are authorizing Bruno Properties LLC, 2743 VT Rt. 22A, West Haven, VT 05743 to process a one time payment for any registration fees required to compete with King Of Dirt Racing. – Also Be Aware there is a small 4% CC processing fee. If you have any questions don’t hesitate to contact KOD at kingofdirtracingseries@gmail.com with subject matter “Registration.” Make sure to like and follow KOD on Facebook for all the latest updates. – Thank You for choosing to participate with King Of Dirt Racing and good luck in your quest to be king!

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