NHRA Lucas Oil Drag Racing Series Registration Form
Driver Class (*)

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Date of Registration (*)


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Owner/Driver Payout Information



First Name (*)

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Last Name (*)

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Email (*)

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Date of Birth (*)

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Address (*)

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City (*)

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State

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Zip (*)

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NHRA License Number (*)

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NHRA Member Number (*)

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NHRA Car Number (*)

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Home Phone (*)

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Work Phone (*)

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Payment Information (same as above is acceptable




First choose the number of crew members you are registering in the drop down menu, then click "add ticket".

Then use the drop down menu to select "driver registration" and pick the number of tech cards you want. Then click "add ticket".

Number of Tech Cards (*)

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Tech-Cards (Crew and Driver) (*)

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Crew Member Names

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Form of Payment (*)

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