2022 Driver Information Form

2022 Driver Information Form

Form Questions: SlingerTower@gmail.com
Forms may only be submitted by the persons listed below. Changes to your information throughout the year can be updated by sending a new form. One form per Car / Driver / Owner. Send multiple forms for multiple cars or drivers. Press SUBMIT on the last page to save and send form.
Driver Information
Driver Name *

First Name Last Name
Nickname
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Mobile Phone Number
E-mail Address *
Is the Driver age 18 or older? *

Yes No - Must have Minor Release Form signed by BOTH parents, and notarized (form available at Track Office, Pit Gate, and Speedway website)
Submitted

Month Day Year
Payout Preference *

Winnings payable to DRIVER Winnings payable to OWNER

Payout Information
Individual Owners must use their Social Security Number (SSN), Corporations or Company Names must provide a valid Federal Employer Identification Number (FEIN).
SSN # or FEIN # *
Any penalty assessed against the car, driver, crew, car owner or anyone else associated with the car will be deducted from that car, driver or owner payment.
Direct deposit is the preferred option for quick and easy driver/owner payout. Please fill out the below information accurately and completely to set-up direct deposit payout.
Direct Deposit Opt-Out

I hereby agree to pick-up my payout check at the track office or pit gate on the next race night. Checks will not be mailed.
Name on Bank Account *
Account Number *
Routing Number *
Account Type *

Checking Account Savings Account
The above information will be used for tax purposes and mailings. Out of state drivers could have six percent of their earnings withheld. It is your responsibility to inform us of any changes. This information will be used for Slinger Super Speedway only. This form must be filled out COMPLETELY and ACCURATELY or you will not receive payment.
Signature

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Driver Information