Terry Sprague Memorial Entry

2022 Prairie Farms Terry Sprague Memorial Entry

Name(Required)

First Last

Address(Required)

Street Address City State ZIP / Postal Code

Phone

Driver Age at Time of Event(Required)

Requested Car #1(Required)

Requested Car #2(Required)

Requested Car #3(Required)

Chassis(Required)

Engine(Required)

Sponsors

Is the Owner the Same as the Driver?(Required)

Owner Name(Required)

First Last

Owner Business Name (DBA)

Owner Address(Required)

Street Address City State ZIP Code

Owner Email(Required)

Owner Phone(Required)

Do You Wish to Reserve Parking?(Required)

Load-in on July 28th or 29th (spot will be marked specifically for you)

Choose Parking Level(Required)

Bottom of Hill/Trees

Middle Tiers

Other

Trailer/Total Rig Length(Required)

If unhooking from trailer, only input trailer length!

Desired Area in Section of Choice (Not Guaranteed)

Event Registration(Required)

Please respond indicating which you wish to register for. Pit passes will be available at the track. $10 for Thursday, $30 for Friday and $35 for Saturday. There will also be a weekend pass available for either $70 for all 3 days or $60 for Fri and Sat. Practice will be held as usual on Thursday, July 28th from 6 pm to 8 pm. You will pay for your practice session while purchasing a pit pass. RAIN DATE WILL BE July 31st for 1-day makeup and August 11th-13th for the weekend make-up.

Total

Do You Wish to Pay Online?(Required)

Please note your entry IS NOT complete until payment is received. You may pay at the track during an event or mail payment.

Payment Method*

American Express

Discover

MasterCard

Visa

Maestro

Card Number Expiration Date Security Code Cardholder Name

2022 Prairie Farms Terry Sprague Memorial Entry

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