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MID-AM RACING SERIES

Membership (2 options to complete)

1.  Offline Forms:

  • Paper IRS W-9 Form

  • Payment for Membership:

    • Include a check or money order for your membership payment.

    • Please ensure the payment is made out to Mid-Am Racing Series and is the correct amount for your membership.

    • Do not send cash.

  • Complete and include this supplemental checklist provided

  • Complete the PARENTAL CONSENT, RELEASE, AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT and MINOR’S ASSUMPTION OF RISK form if applicable.

    • The form MUST be printed in color.

    • This form must NOT be folded.

    • Both parents must sign Page one is for the parent to complete (print a second copy of page one for the second parent).

    • Page two is for the minor to complete.

    • All pages of the form MUST be notarized.​ If both parents are not present to sign in front of Cheryl or Tim

  • Any items not completed or missing will be considered incomplete.

  • If you prefer to submit your registration via paper form, you must include the following documents:

Mailing Address for Paper Submissions:
Mid-Am
PO Box 4
Posen, IL 60469

All paperwork should be sent with tracking, as Mid-Am is not responsible for any delays or lost mail. Early registrations must be postmarked before April 1st."

2.  Online Membership Forms:

Single choice
Individual/sole proprietor
C corporation
S corporation
LLC (C corporation)
LLC (S corporation)
LLC (P Partnership)
Multi-line address
Are you above 18 years of age?
Yes
No

*If No you will need to complete the PARENTAL CONSENT, RELEASE, AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT and MINOR’S ASSUMPTION OF RISK form located on our driver resources page.

A. The form MUST be printed in color

B. This form must NOT be folded

C. Both parents must sign Page one is for the parent to complete (print a second copy of page one for the second parent).

D. Page two is for the minor to complete


All pages of the form MUST be notarized if not signed in front of Cheryl or Tim by both parents.

Mid-Am Membership


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Built on a rich legacy, driven by innovation honoring our past while forging a bold new future

MID-AM RACING SERIES

PO BOX 4

POSEN, IL 60469

TRADEMARKS/COPYRIGHTS:

® Mid-Am Racing Series and Mid-American Stock Car Series are registered trademarks.

© 2021-2025, Tim Scrogham All Rights Reserved.

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