OFFICIAL ENTRY FORM
King of America Modified Nationals
Humboldt Speedway, Humboldt, KS
Wednesday-Saturday, Oct. 19-22, 2011
King of America Modified Nationals – Humboldt Speedway, Humboldt, Kan., October 19-22, 2011
By filling out and submitting this form indicating my entry for the event(s) designated, I agree to abide by the rules and regulations of the USMTS and the
hosting racetrack. Furthermore, I understand that there will be no refunds on any entry fees.
CHOICE #1: CHOICE #2:
ENTRY FEE IS $250 IF RECEIVED BY AUGUST 31
ENTRY FEE IS $300 FROM SEPTEMBER 1 THROUGH OCTOBER 5
ENTRY FEE IS $400 AFTER OCTOBER 5 OR AT THE TRACK ON RACE DAY.
MULLIGANS ARE AN ADDITIONAL $100 AND MUST BE INCLUDED WITH ENTRY.
Driver’s Name ______________________________________ Car # ________ Chassis ___________________________________
Address ____________________________________________ City __________________________ State _____ Zip __________
Home Phone (__________) __________-_____________ Other Phone (__________) __________-_____________ ( Phone Type )
Social Security or Tax ID # ___________-________-____________ Date of Birth _________/_________/_________ (mm/dd/yy)
Email Address _____________________________________ Website Address __________________________________________
Sponsors ___________________________________________________________________________________________________
__________________________________________________________________________________________________________
If owner is different than driver, complete the following information:
Owner’s Name ______________________________________ Social Security or Tax ID # ________-______-________
Address __________________________________________ City ______________________ State ____ Zip __________
Make check payable to USMTS and mail to: P.O. Box 905, Webster City, IA 50595
For credit card purchases, please complete the following:
NAME ON CARD___________________________________________ CARD NUMBER________________________________________________
EXP DATE______________ CARD TYPE (circle one): Visa / Mastercard CVC#___________ (three-digit number on back of card)
Wednesday
Thursday
Friday
PROCEDURES: Drivers will register to qualify on either Wednesday, Thursday or Friday. Drivers qualifying on Wednesday or Thursday who
purchased a “mulligans” will be able to qualify again on Thursday or Friday if they elect to use their mulligan. Cars will qualify through group
time trials. Time trials will be staged in groups of four to five cars with a green-white-checkered format. The top 6 qualifiers from time trials
will be inverted for each heat race. Heat races will take the top 12 in passing points to the “A” Main with the remainder going to one of the
“B” Mains that night. Points will be awarded for time trials, heat races, “B” mains and the “A” main each qualifying night with the top 6 in
points each night being locked into Saturday's $15,000-to-win King of America Modified Nationals “A” main. The highest overall points earner
during the first three days will earn the pole for the Saturday's “A” main, second most points in the middle of the front row, third most points
on the outside of the front row and so on for the 18 qualified drivers. Saturday will feature an “alphabet soup” of main events with the
highest non-qualified points earner on the pole of the “B” main and the lowest points earner at the back of the “H” main (or lowest main
event staged). Six drivers will advance from each main event to the next, with 12 cars advancing from the “B” main to the “A” main to
create a 30-car starting field featuring a three-wide start.
“A” Main: 1. $15,000, 2. $8,000, 3. $5,000, 4. $4,000, 5. $3,000, 6. $2,500, 7. $2,200, 8. $2,000, 9. $1,800, 10. $1,700, 11. $1,675, 12.
$1,650, 13. $1,625, 14. $1,600, 15. $1,575, 16. $1,550, 17. $1,540, 18. $1,530, 19. $1,520, 20. $1,510, 21-30. $1,500.
“B” Main: 1-12 transfer, 13. $1,000, 14. $800, 15. $750, 16-28. $700.
“C” Main: 1-10 transfer, 11. $675, 12. $650, 13. $625, 14-24. $600.
“D” Main: 1-6 transfer, 7. $575, 8. $550, 9. $525, 10-24. $500.
“E” Main: 1-6 transfer, 7. $475, 8-24. $450.
“F” Main: 1-6 transfer, 7. $425, 8-24. $400.
“G” Main: 1-6 transfer, 7. $375, 8-24. $350.
“H” Main: 1-6 transfer, 7. $325, 8-24. $300.
SELECT YOUR QUALIFYING DAY ��
Select your preferred day(s) to qualify. You may qualify on one day only, unless you purchase a
mulligan which will allow you to discard points earned your first night and try again on Thursday
or Friday. Wednesday qualifiers may use their mulligan on Thursday or Friday if they elect to
use it. Thursday qualifiers must use their mulligan on Friday if they elect to use it. Mulligans
must be purchased at the time of entry and are non-refundable. Select your qualifying day in
CHOICE #1. If you are purchasing a mulligan, select your next qualifying day in CHOICE #2.
Wednesday
Thursday
Friday
Yes, give me a Mulligan (one per entry).
RULES: This event is sanctioned by the United States Modified Touring Series. No
points will be awarded for this event and no license is required. Tires allowed are the
American Racer KK704 or IMCA-stamped Hoosier G60. All other USMTS rules apply.
To contact the USMTS
call 515-832-7944 or
visit www.usmts.com.
