HomeAboutEventsRace SeriesRulesMembership & FormsGalleryClassifiedsContactEvent Tickets

Official HSR Sprint Race Sponsor
Official HSR Endurance Series Sponsor
Daytona Historics Entry Form
November 14 - 17, 2013
2013 Daytona Historic Races

Driver *
Driver and co-driver must hold a competition license with HSR or submit a copy of recognized VMC organization license showing valid medical date. All entrants must submit an engine certification form at their 1st race of the 2013 season to HSR.
Prefix
Driver and co-driver must hold a competition license with HSR or submit a copy of recognized VMC organization license showing valid medical date. All entrants must submit an engine certification form at their 1st race of the 2013 season to HSR.
First *
Driver and co-driver must hold a competition license with HSR or submit a copy of recognized VMC organization license showing valid medical date. All entrants must submit an engine certification form at their 1st race of the 2013 season to HSR.
Last *
Driver and co-driver must hold a competition license with HSR or submit a copy of recognized VMC organization license showing valid medical date. All entrants must submit an engine certification form at their 1st race of the 2013 season to HSR.
Suffix
Driver and co-driver must hold a competition license with HSR or submit a copy of recognized VMC organization license showing valid medical date. All entrants must submit an engine certification form at their 1st race of the 2013 season to HSR.
HSR Member #
Other Racing Org/Member #
Use this field if not and HSR member
Email *
Phone *

###
-
###
-
####
Address *
Street Address *
Address Line 2
City *
State / Province / Region *
Postal / Zip Code *
Country *
Co-Driver
Prefix
First
Last
Suffix
Co-Driver HSR Member #
Co-Driver Email

Car Information

Year
Make
Model
Color
Displacement (in litres)
AMB Transponder #
Front Brakes *
Rear Brakes *
FIA Car
Tires - Make/Model/Size *
Slick Tires
Car Number Preference
(must choose 3)
*
*
*

Crew Information

Entry includes driver and 3 crew spaces. Driver and co-driver uses a crew space. All Crew with an Annual Crew card use a crew space at every event whether they are present or not. Overcrew tickets are $45 each.
Crew 1
Crew 2
Crew 3

Event Fees

Race Entry includes 4 racing credentials. Please check each event you wish to participate in. Must enter Race Entry.
RaceLink Dash Races *
 HSR Member - $575 
 Non-Member - $650 
 Mission Foods GT3 Cup (HSR Member) - $575 
 Mission Foods GT3 Cup (Non-Member) - $575 
 No Entry - $0 
Must Enter
Louis Chevrolet Endurance Challenge Series
 HSR Member - $275 
 Non-Member - $325 
 No Entry - $0 
Must be entered in RaceLink Dash Races
Vintage and Historic Night Race (all groups eligible)
 HSR Member - $250 
 HSR Non-Member - $325 
 No Entry - $0 
Test Day
Thur Nov 14
 HSR Member - $295 
 Non-Member - $350 
 No Entry - $0 
No Credit for cancellations after 10/25/13
Must be entered in RaceLink Dash Races
Track Orientation Program
(Includes Test Day)
Thur Nov 14
 HSR Member - $395 
 Non-Member - $450 
 No Entry - $0 
(Do not check Test Day)
Number of Overcrew
($45/ea)
Garage
($150/car)
Motorhome Space
($200/Space)
In Owner's Lot
Late Fee
 $100 
 No Fee - $0 
Entry received after November 1, 2013
Amount of Entry
$
Dollars
.
Cents
Credit used from Event:
Credit Value
$
Dollars
.
Cents
Total Amount Enclosed *
$
Dollars
.
Cents
Credit Card
Credit Card Number
*SSL Enabled
Credit Card VIN
3 Digits
Credit Card Exp Date XX/XX
Check Number
Make Checks payable to HSR
Mail Entry and payment to HSR
P.O. Box 8110
Clearwater, FL 33758
404 298-5616 (404) 298-6376 - Fax
www.hsrrace.com - email: registrar@hsrrace.com

HSR Rules

The applicant (including crew, driver and car owner) agrees to conform to the rules, procedures and policies of HSR and waives any right to claim against, and covenants not to sue HSR, its officers, directors, employees, agents or any drivers’ committee with respect to the interpretation or application of any rules, procedures or policies.

Transponders

AMB Transponders are mandatory, To purchase or rent an AMB Transponder, please contact Janet Harhay, jharhay@aol.com. Transponder purchase/rental form can be found on the HSR website under “forms”.

Cancellations

There will be a $100 late fee for entries received after Oct 18, 2013. In case of cancellation, a credit will be issued, less a $50 administration fee. Credits expire after one year from event entry cancellation. No credits will be issued for cancellation of Test Day after Oct 25, 2013. HSR does not issue refunds.
Additional Information
Checkbox Grid
Statement One
 First option 
 Second option 
 Third option 
Statement Two
 First option 
 Second option 
 Third option 
Statement Three
 First option 
 Second option 
 Third option