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2025 Penton Driver Form 
Please complete online driver form or paper form at the track for the 2025 season. Must also complete W9 tax form as well. 
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Email *
Driver Name 
Car Number 
Street Address with City, State, and Zip Code 
Email 
Date of Birth 
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DD
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Phone Number 
Classes Run (Check all that apply) 
Emergency Contact Name 
Emergency Contact Phone Number 

ENTRY AND ADVERTISING RELEASE: In consideration of the awards of this event and the sanctioning of the event by Penton Raceway the car owner and driver individually and jointly agree that Penton Raceway and its successors (and/or assigns) may use their name(s) and picture(s) of their person and car described herein, or any of them, in any way, medium or material for promoting, advertising, recording or reporting this event before, during and after such event, and do hereby relinquish all rights hereto for these purposes.  Driver and car owner understand this entry form covers all events in connection with Penton Raceway and that they understand and will abide by all rules, regulations and decisions as well as all stipulations in the entry blank Penton Raceway 2024 rules will apply. Call the track or visit the website  for rules or further information. 


GOOD FAITH TO PUBLIC PLEDGE – In signing this entry blank, both driver(s) and car owner(s) recognize their obligation to the public and race promoter posting the prize money and conducting this event. Therefore, we agree to compete in the event if humanly possible unless this event is postponed, canceled or if the car fails to qualify for the starting field. 

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