form

Driver/Car Registration for the Kingman Rt 66 Street Drags

October 9-11, 2026

300 Vehicles Field - Registration Ends August 31, or capacity is met.

Registration fee for Car, Driver and one crew member: $225 includes tech card

Additional Crew Bands are $75 ea. & can be purchased with registration or at driver check in at Event-if Crew Bands purchased at event-cash only

Must register separately if you want to run in more than one class.

DRIVER/ VEHICLE CHANGES CAN ONLY BE DONE 30 DAYS OR MORE PRIOR TO EVENT.

CALL Dana Marino/Event Director 530-521-4016 for approval.

Full name of DRIVER ONLY

Driver Age

Full Address

Phone

Make of Vehicle

Model

Year

Color

Will this registration be to place you in for Small Tire Cash Event? (please answer Yes for buy in- or No)

REFUND MINUS $25 FEE FOR CANCELLATIONS BEFORE AUG. 1 2026

For Cancellation: Call 928-530-6359 ONLY-no emails, Leave message.

NO REFUND/ROLL OVER CREDIT WILL BE ISSUED FOR CANCELLATIONS RECEIVED AFTER AUGUST 1, 2026.

After Submitting this form please PAY on the next page or your submission will be voided and deleted.

Registration fixed price not including extra crew bands.

$225