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920-648-2705 jeffersonspeedwaymarketing@gmail.com

New Driver Information Form

Car Number (required)
Division (required)

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Driver Name (required)
Email (required)
Address (required)
City (required)
State (required)
Zip (required)
Phone (required)
Social Security Number (required)
Age (required)
Date of Birth (required)
Years Racing (required)
Car Make (required)
Model (required)
Year (required)
Occupation (required)
Marital Status (required)
Spouse's Name

CAR OWNER INFORMATION (if different from driver)

Owner Name (required)
Address (required)
City (required)
State (required)
Zip (required)
Phone (required)
Social Security Number (required)
To whom should the tax forms be sent? (required)
DriverOwner
Sponsors

Driver Profile Media Information Form

Car Number
Division

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Driver Name
Hometown
Age
Years Racing
Car Make Model and Year
Occupation/School
Marital Status
Spouse's Name
Favorite Jefferson Speedway Food/Drink
Favorite Part About Racing at Jefferson Speedway
Favorite Jefferson Speedway Memory
Reason Behind Your Car Number Choice
Favorite Movie
Favorite TV Show
Sponsors
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