SHADYBOWL SPEEDWAY
P.O. Box 23 · New Carlisle, OH 45344
Track Address: Flowing Well Road · Degraff, OH  43318 · (937) 585-9456 · FAX (937) 846-0629

This information sheet is given to track tower and announcer.  We are requesting this information so that we can let your fans know more about you and the great sponsors that support you.  Please take a few minutes to print out and then complete this return this form by mail to Shadybowl Speedway, P.O. Box 23, New Carlisle, OH 45344.  We will keep it on file for the entire racing season.

 

Driver Name: _______________________

Driver Address: 
Street:
City:
State:
Zip Code: 		__________________________
__________________________
__________________________
__________________________

Age: _____   Birthdate: ____ / ____ / _____

Social Security Number: _______________

Driver Employer: _____________________

Occupation: _________________________

Home Phone: (____) ____ - _______

Work Phone: (____) ____ - _______

Spouse Name: __________________

Children's Names and Ages: 
   ____________________________
    ____________________________
    ____________________________

 

 Division: __________________________

Make of Car: ______________________

   Car #: _____ Year of Car: __________

   Years of Experience: _______________

   Rookie:  Y  /  N

   Car Owner: ______________________________

   Driver Email Address: ______________________

   Owner Email Address: ______________________
Sponsor's Name and Interesting Facts:
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

1099 Information

Name: ________________________________________________________________________________

Address:
Street:
City:
State:
Zip Code: 		__________________________
__________________________
__________________________
__________________________

Social Security or Tax ID Number: __________________________________________________________