A picture containing text, clipart, sign

Description automatically generated

2021 Driver Information Packet

This information MUST be filled out before the first race!

Every driver must complete this packet. 

If this information is NOT filled out completely before the first race you will NOT
receive your check until this packet and a W-9 form have been completed.
If you do not have information to fill in a blank, (ex: You do not have an e-mail address, etc.)
please put ‘none' in the blank so we are aware it was not missed.
NO forms will be accepted that have a blank filled in that says, ‘same as last year.'
Each section should be filled out even if there was no change, in its entirety and legibly.

Please fax information to (828) 465 – 5017 e-mail @ hickorymotor@bellsouth.net or mail information to:

 Hickory Motor Speedway

3130 Hwy. 70 SE

Newton, NC 28658

DRIVER INFORMATION 

Driver's Full Name: _____________________________________    Nickname: ________

Car/Truck #: __________       Division: _____________________________________________

Mailing Address: _______________________________________________________________

City: __________________    State: _________        Zip Code: ____________

Cell Phone #: _______________________ Home Phone #: ____________________________

E-Mail: _____________________________________ Birthdate (MM/DD/YY): ______________

Social Security #: ____________________________________

Twitter/Facebook/Media: ________________________________________________________

Website: _____________________________________________________________________

# of Years Racing: _____________

Championships/Awards/Titles: ___________________________________________________

______________________________________________________________________________

Occupation: _______________________      Marital Status: ______________________

Spouse Name: _________________________          Children: ___________________________

2021 Goals: ___________________________________________________________________

Special Thanks To: _____________________________________________________________

______________________________________________________________________________ 

MEDICAL HISTORY

Please list any known allergies:_______________________________________________________________________

If any, what medication(s) do you take regularly? ______________________________________

Please inform us of any medical condition or history that may help with medical staff treating you in case of injury or illness: _____________________________________________________________________________ 

EMERGENCY CONTACT INFORMATION

Name: ____________________________________

Relationship to Driver: ________________________________________

Address: ______________________________________________________________________

City: ________________________    State: _____________            Zip Code: ________________

Primary Phone #: _________________________________________

Secondary Phone #: _________________________________________

Driver's Signature: ______________________________________________

Date: ______________

 

  Hickory Motor Speedway recommends all competitors should consider purchasing
the supplement insurance policy provided by SIS. Additional information will be provided.
 

CAR OR TRUCK INFORMATION

Driver Name: _________________________________________________________________

Car/Truck #: _________         Division: _____________________________________________

Car Make: ______________________________      Car Model: _________________________

Crew Chief: _____________________________      Engine Builder: _______________________

Car Owner: _____________________________      Spotter: _____________________________

Are you planning on running for rookie of the year in this division? Yes __ No ___

Sponsors: _____________________________________________________________________

______________________________________________________________________________ 

IMPORTANT! FINANCIAL INFORMATION

YOU MUST ALSO FILL OUT THE W-9 FORM (LAST PAGE) 

Make Checks Payable to: _________________________________________________________

Driver/Car Owner/Business: _______________________________________________________

Address: ______________________________________________________________________

City: _____________________________      State: __________      Zip Code: ________________

Social Security # OR Federal ID #:__________________________________________________

Phone #: __________________________________

Driver's Name: ______________________________________

Car/Truck #: _______________         Division: _______________________________________

 

WOULD YOU LIKE YOUR CHECK TO BE MAILED TO YOU?

YES ______     NO _______

 

PROVIDE CORRECT MAILING ADDRESS BELOW:

______________________________________________________________________________

 

THIS LICENSE IS FOR ANYONE UNDER THE AGE OF 14.
DO NOT FILL THIS OUT IF YOU ARE APPLYING FOR A NASCAR LICENSE.

 2021 Hickory Motor Speedway License Form 

Name: _______________________________________________________________________

Address: ______________________________________________________________________

City: ___________________________              State: _______                Zip Code: _____________

E-Mail: _______________________________ Cell Phone #: _____________________________

Date of Birth (MM/DD/YY): _________________________

Car #: _______________           Division: _____________________________________________

 

CAR OWNER INFORMATION

Name: ________________________________

Address: ______________________________________________________________________

City: ___________________________              State: ________              Zip Code: _____________

E-Mail: ______________________________ Cell Phone #: ______________________________

Date of Birth (MM/DD/YY): __________________________   Car #: _______________

 

Pay Check To: ________________________________________

Address: ______________________________________________________________________

City: ___________________________              State: _________           Zip Code: _____________

Social Security #: ________________________________

OR EIN #: ______________________________________

2021 License: $100

Please make your check payable to:

Hickory Motor Speedway

3130 Hwy. 70 SE

Newton, NC 28658

 

-          An HMS license or a NASCAR license is REQUIRED to participate in the Limited Late Model Series.

-          All Limited Late Model teams must run Paramount Auto Group decals to be eligible
for Paramount point money for Paramount races.

-          Resume MUST be submitted for ages 14 and younger.

 

FOR TRACK USE ONLY: Date Received: ________________        Cash/Check #: _________________

 2021 Yearly Transponder Rental Rates

DIVISONS

# OF EVENTS

YEARLY COST

SINGLE EVENT COST

LATE MODEL STOCK

21

$210

$15 PER EVENT

LIMITED LATE MODEL

21

$210

$15 PER EVENT

SUPER TRUCKS

10

$100

$15 PER EVENT

STREET STOCKS

21

$210

$15 PER EVENT

4-CYLINDERS

9

$90

$15 PER EVENT

RENEGADES

9

$90

$15 PER EVENT

 

 

 

 

 

ALL COMPETITORS ARE REQUIRED TO RUN TRANSPONDERS WITH OUR SCORING SYSTEM
AND MUST RETURN THE TRANSPONDER TO THE TECH SHED AFTER YOUR RACE.
THERE WILL BE A LABLED BOX FOR YOU TO PLACE YOUR TRANSPONDER.

 

FAILURE TO DO SO WILL RESULT IN DELAY OF YOUR PURSE CHECK BEING ISSUED AND MAILED
UNTIL THE TRANSPONDER IS RETURNED TO HICKORY MOTOR SPEEDWAY.

 

-          Yearly transponder rental is based on $10 per event of events scheduled.

-          No refunds on any transponder rentals. Transponders are not transferrable.

-          Transponder bags may be purchased for $20 and this will remain on your car.

-          Transponder must be in a transponder bag for proper scoring.

BEGINNING JANUARY 1ST, 2021

HICKORY MOTOR SPEEDWAY PRACTICE PROCEDURES

 

ALL PERSONNEL ENTERING THE INFIELD FOR PRACTICE SESSIONS MUST FIRST SIGN THE RELEASE FROM AT THE HMS OFFICE!

 

Hickory Motor Speedway is available for practice sessions, commercial photography, private gatherings
and as a location for TV and movie production.

Practice fees DO NOT include Fire/Medic personnel or vehicles or wreckers. These services are available through the track at an additional fee.
If track lighting is required, rates are an additional $150 per hour.

A minor's release form signed by the minor's parents is required for anyone under the age of 21. Hickory Motor Speedway strongly advises you to
leave children, pets and anyone not working on the racecars at home.

Please contact the HMS office if you would like to rent the track for a private session.

Your practice time starts when you ENTER THE GATE and finishes when your car EXITS THE GATE.
In the event you are unable to make your scheduled practice time, you must call to cancel.

 

-          “No-Shows” (without a phone call) will automatically be billed for 2 hours of practice time.

RACE CAR “TEST AND TUNE” PRACTICE SESSIONS

Includes Monster Energy Cup, Xfinity Series, Camping World Truck Series, K&N East/West Series, ARCA, CARS Touring Series,
Southern Modified, PASS and all other divisions currently NOT part of regular HMS shows:

MONDAY THROUGH FRIDAY

Practice fees are $100 for the first hour and $60 each additional hour per car, with a one (1) hour minimum.
Cars must practice with same division or equal division, ex: late model/limited/truck. Each team must reserve and pay separately.
By reservation only.

Private practice is $150 per hour, with a one (1) hour minimum. By reservation only.

When booking a private practice, a credit card must be provided to reserve the session along with a deposit of 50% of the estimated rental fee.
Deposit refunds will ONLY be provided if weather prevents you from practicing or if you cancel your session seven (7) days prior to your scheduled rental.

OPEN PRACTICE SATURDAYS (OPEN PRATICE)

SATURDAYS AND SUNDAYS

Practice fees are $100 per hour, per car, with a two (2) hour minimum.

Private practice fees for Saturday/Sunday are $200 per hour, with a two (2) hour minimum. By reservation only.

When booking a private practice, a credit card must be provided to reserve the session along with a deposit of 50% of the estimated rental fee.
Deposit refunds will ONLY be provided if weather prevents you from practicing or if you cancel your session seven (7) days prior to your scheduled rental.

 

SPECIAL PRICING FOR HMS LICENSED RACERS

If you have a current Hickory Motor Speedway NASCAR License and compete in our regular NAAPWRS events,
you will receive a special discounted practice price as a thank you for your support to the track:

Monday – Friday: $60 per hour, per car/Private $100 per hour. Both sessions requiring a one (1) hour minimum.

Saturday: $75 per hour, per car/Private $150 per hour. Both sessions requiring a two (2) hour minimum.

Sunday: $100 per hour, per car/Private $200 per hour. Both sessions requiring a two (2) hour minimum.

 

OPEN PRACTICE SATURDAYS

-          Each Saturday morning that Hickory Motor Speedway has a NASCAR Advance Auto Parts Weekly Racing Series race,
March through September, Hickory Motor Speedway will hold Open Practice from 9 am – 12 pm.

-          Rates are $100 per car.

-          No charge for the crew during practice.

-          No reservations needed.

 

OPEN PRACTICE WEEKLY (WEEKLY HICKORY CARS)

-          $60 per hour (Monday through Friday)

-          $75 per hour (Saturday)

-          $100 per hour (Sunday)

 

PRICING RATES FOR PRODUCTION COMPANIES

-          Rates for 12-hour production day (8 am – 8 pm) = $2,000

-          Rates Hourly = $200 per hour (private – minimum 4 hours)

-          Gateman Security (required) = $15 per hour

-          Location Liaison/Management Fee (required) = $150 per day

 

TO RESERVE TRACK TIME PLEASE CONTACT THE SPEEDWAY @
(828) 464-3655 OR EMAIL US @
hickorymotor@bellsouth.net