Welcome to the 2025 Racing Season at Agassiz Speedway!
For your membership application to be complete fill in the information below and submit your payment.
Please review the Social Media Policy before completing the registration form.
All membership forms will be reviewed and payment verified before membership is approved. A membership card will be provided and available for pick up at the pit gate.
Notice: You have reached your maximum number of individual entries for this registrant.
You must select at least one membership type.
/ /
No category for this age.
Phone (Cell preferred) *
Emergency Contact (Name and Cell Phone) *
Social Media Policy: I have read and agree to comply with Agassiz Speedway's Social Media Policy. *
By submitting my application for membership, I grant permission for Agassiz Speedway/Kent Raceway Society to share my name and contact information with event organizers or sponsors. If you do not agree, please uncheck this box. ?
Medical Conditions: Do you have any medical conditions that should be noted for our first aid service providers? (i.e. diabetes, epilepsy, heart conditions, etc.)
Yes No
Please list medical condition(s) and any details our first aid service providers should be aware of.
Work Parties: If you are available to help with work parties, which days work best for you? If other, please provide additional details.
Skills/Experience: Please note any skills or experiences that you could contribute to Agassiz Speedway. If other, please provide additional details.
Promotions: Are you aware of any advertising opportunities for Agassiz Speedway? Please list below and include a contact name and information.
Promotions: Are you interested in helping with off-site promotions?
Yes No
Please list any geographic area(s) where you can help with promotions.
Class *
Hornet Late Model Midget Mini Street
Car # (any new car number registrations are pending verification/availability)
Car Year
Car Make
Car Model
Car Sponsors: List sponsor names for the driver profile (website and social media) and for announcer.
Car #1 Sponsors: List sponsor names for the driver profile (website and social media) and for announcer.
Class (Car #2) *
Hornet Late Model Midget Mini Late Model
Car # (Car #2) any new car number registrations are pending verification/availability
Car Year (Car #2)
Car Make (Car #2)
Car Model (Car #2)
Car #2 Sponsors: List sponsor names for the driver profile (website and social media) and for announcer.
Pit Crew Members (please list first and last names)
Transponder: Do you have your own transponder?
Yes No
If yes, please provide your transponder number.
Did you rent a pit pad in 2024?
Yes No
Do you want to be added to the waitlist for a pit pad in 2025? If yes, we will contact you when a pit pad assignment is available and payment will be required at that time.
Yes No
Do you want to rent a pad for 2025? If yes, please remit payment of $100 for pad rental.
Yes No
Driver History/Bio: Include information for the driver profile (website and social media) and for announcer.
Photos: Upload a photo of the car and/or car and driver for the driver profiles (website and social media). By uploading images you consent to their use by Agassiz Speedway and cofirm that you have permissions for reproduction of the image. ?(Images only: .jpg, .png, .gif, .tif, .bmp, etc)