| Name: ______________________________________
AGE: ________ DOB: ____________ ADDRESS:
__________________________________________________________________
HOME TRACK: ____________________ EMPLOYMENT:
___________________________
PHONE: __________________________ EMAIL:
__________________________________
TEAM WEBSITE: ________________________________________
CAR # ________ MAKE AND YEAR:___________________
COLOR(S):________________
CAR OWNERS:
______________________________________________________________
PRIMARY
SPONSOR:_________________________________________________________
ASSOCIATE
SPONSORS:______________________________________________________
____________________________________________________________________________
CHASSIS BUILDER_____________________ ENGINE
BUILDER:_____________________
CREW
MEMBERS:____________________________________________________________
____________________________________________________________________________
RACING ACHIEVEMENTS: Please be specific!
_____________________________________
____________________________________________________________________________
____________________________________________________________________________
In order
to qualify for this program, you must be a PASS licensed team whose
driver has neither finished in the top five in the final point
standings of any other touring series
nor competed in a
maximum of six PASS races in a single season.
PASS has the right to accept or reject all Rookie of the Year
candidates.
I
hereby certify that I meet all the criteria listed above and wish to
apply for the 2007 PASS/ Northern Race Tires Rookie of the Year
program.
SIGNED: _______________________________________ DATE:
______________________
PASS APPROVAL BY: ____________________________ DATE:
______________________ |
