Registration Instructions – Please Read Carefully

Fill out the form as completely as you can.

• You only need to submit this registration one time per year.
• Items with and asterisk after the title are required.
• Sponsor and Bio information is great for sharing with announcers.
• A device with a bigger screen is not required, but highly recommended

A confirmation page will follow.
Do not navigate away until you see that page load after submitting.

Driver Registration, Username & Password

Email / Registration Username *

Email

Confirm Email

Enter an email. This will serve as your login and also be needed to verify your registration.

Password *

Password

Confirm Password

Enter a password that meets the criteria required.

Race Team Information

Race Team Name *

Please enter a race team name. This will help identify teams that have multiple cars and make the association between those cars. The name can simply be the last name of the driver and the word racing. For example: Borger Racing

Car Owner Name *

First

Last

If you are the driver and the owner, simply put your name twice.

Primary Driver Name *

First

Last

Enter the name of the person who is going to race this car on a regular basis. If it is the same as the owner, simply put the same name

Driver Age *

Race Team Address – See Description Below *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

IMPORTANT: This is an address that may be used to send any points fund money or other winnings.

Mobile Phone *

This is your contact information.

Can you text? *YesYesNo

Driver Bio

Enter any interesting information about you or your racing program that the announcer at the track can use to talk about you during the course of a race.

Car Information

Enter information about your car

Car Number *

Enter the number of your car for approval.
Note: Xcel Chassis reserves the right to restrict any number based on frequency

Primary Sponsor

List your primary sponsor. This is likely the sponsor who will be recognized by the announcer, especially if it is a one-visit track

Secondary Sponsors

Enter information about any other sponsors. This information will be used for talking points when you visit a track over and over again.

ID Numbers & Motor Information

Transponder No.

Frame Number *

Enter welded chassis number

Motor *Suzuki SuzukiYamahaHonda

Motor Year200420042005200620072008200920102011201220132014201520162017201820192020

Suzuki | 2004 – 2009, Yamaha | 2014-2020

Engine Serial Number *

Enter the Engine Serial Number from Engine Plate

Engine XCEL SEAL Number *

This is the blue seal that is wired into the top of the motor (Suzuki) and by drivers knee (Yamaha)

Engine XCEL Seal Number 2

Yamaha motor has a 2nd seal in the same area as the first

CPU Serial Number *

This is the STAMPED serial number that is on the CPU. The numbers are melted directly into the plastic casing

CPU XCEL BARCODE Serial Number *

This is the sticker on the box. It is red and has the word SEALED in capital letters. The number is just above the barcode.

Accept and Submit *

• I accept terms outlined on this page.

Before you press: Submit My Registration

Please look back at your entries to make sure they stuck. Do capitalize where appropriate, this entry will be shared with track announcers (relevant fields – not all) so they can promote our series. A confirmation page will follow.

Submit My RegistrationSave and Resume Later

Heads up! Saving your progress now will store a copy of your entry on this server and the site owner may have access to it. For security reasons, sensitive information such as credit cards and mailing addresses, along with file uploads will have to be re-entered when you resume.

Continue Go Back

Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternately, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

Copy Link

Email *

Send Link

TERMS & CONDITIONS:
IN CONSIDERATION AND ACCEPTANCE OF THIS XCEL CHASSIS REGISTRATION/PARTICIPATION FORM, I MYSELF, MY HEIRS, NEXT OF KIN, PERSONAL REPRESENTATIVES AND ASSIGNS, FOREVER RELEASE REMISE AND FOREVER DISCHARE AND AGREE TO HOLD HARMLESS AND INDEMNIFY THE PROMOTERS PRESENTING THE RACES OR OTHER EVENTS, THE OWNERS OF THE PREMISES AT WHICH THESE EVENTS ARE HELD, THE PARTICIPATION, THREIN, AND THE OWNERS, SPONSORS, AND MANUFACTURES OF ALL RACING EQUPMENT USED IN ANY OF THESE EVENTS. THE OFFICERS, DIRECTORS, AGENTS INCLUDING OFFICIALS AND XCEL CHASSIS LLC. PARTICIPANTS, OF AND FROM LIABILITY, CLAIMS, ACTION OF POSSIBLE CAUSES OF ACTION WHATSOEVER, INCLUDING NEGLIGENCE OF ANY OF THE FOREGOING THAT MAY ACCRUE TO ME OR MY HEIRS, NEXT OF KIN AND PERSONAL REPRESENTATIVES FROM EVERY AND ANY LOSS, DAMAGE AND INJURY, INCLUDING DEATH, THAT MAY BE SUSTAINED BY MY PERSON AND PROPERTY WHILE IN OR ABOUT AND ENROUTE INTO AND OUT OF ANY XCEL CHASSIS EVENT.
BY SUBMITTIMG THIS REGISTRATION FORM, I ACKNOWLEDGE THAT I HAVE READ THE ENTIRE FORM AND UNDERSTAND ITS CONTENTS.

XCEL CHASSIS HAS CONSENT TO USE DRIVER NAME AND LIKENESS FOR PROMOTIONAL AND SOUVENIR MATERIALS.