Pit Registration

You will need to complete a Pit Registration Form for each boat that you plan to enter in the race. You will also need to fill out a Taxpayer Identification Form (W-9) and email it in too. If you have more than one boat, you will only need to send us one W-9. PLEASE NOTE: You are still required to register for the race through Lucas Oil Click Here to go their site

If you have any questions feel free to contact: Jesse Shackelford – Pit Director 706-305-7441 email Jesse

Boat Registration Form


Please fill out the form completely for proper registration.
( * )Fields Are Required

*Are you a first time attendee of the Augusta Southern Nationals?

Please provide the Main Contact Information(Owner) for this registration. (The Main Contact is the person listed on the W-9 Form)

Main Contact Information:

*Are You?
*Name

Company Name

*Address

Address 2

*City

*State *Zip
*Main Contact Email

*Main Contact Phone Number

Driver Information:

*Same As Above?
Driver Name

Address

Address 2

City

State *Zip
Driver Phone Number

Driver Email

Boat Information:

*Boat Class

*Boat Name

*Boat Number

*Overall Hauler Length
ft.
*Open Boat or Enclosed Trailer?

*Do you need a tow person?
*Do you need a tow vehicle?
*Do you need a RV/Camper Spot?
- Length ft.

*Will You Participate in Night Of Fire?

Special Request/Comments:

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