This form cannot be used to upgrade from Beginner to Advanced or Advanced to Masters. You must print the Junior membership application, take it to your track, make your passes and have a track official approve the form before submitting it to us.
JUNIOR DRAGSTER MEMBERSHIP & LICENSE
$45 - Junior Dragster Membership & License Only - No SSS "X" Number
$55 - Junior Dragster Membership & License with Summit Super Series
SSS "X" Number
Car Number (NO "X")
Home Track (SSS Only)
If this is an associate membership, please indicate below. Associate memberships must have at least one full member at the same address and will receive a $10 discount from the regular price.
Full Member Number
Full Member Name
Full Member Exp. Date
MEMBER AND PAYMENT INFORMATION
JUNIOR RACER'S NAME
JUNIOR IHRA MEMBER NUMBER
CREDIT CARD NUMBER
ALL FUNDS PAYABLE IN U.S. DOLLARS