INTERNATIONAL HOT ROD ASSOCIATION
P.O. Box 708, Norwalk, Ohio 44857
Phone: 419-663-6666 Fax: 419-668-6601
IHRA COMPETITION LICENSE FORM
This form must be completely filled out. It will not be processed if there are any omissions.
This Section To Be Filled Out By Competitor – Please Complete Legibly
LICENSE FEE: $60 ET Bracket or $70 Class Competition Application (see Membership, License and Number Application for explanation of fees).
$10.00 fee if upgrade from current license.
O New
O Renewal
O Upgrade
O NHRA Transfer (Must enclose copy of NHRA License)
(Each new applicant must enclose copy of valid state driver’s license, over and above a learner’s permit)
Car#______________ Class Applied For______________ IHRA Membership Exp. Date ________________
Name___________________________________________ Social Security Number _____________________
Address _________________________________________ Daytime Phone ____________________________
City _______________ State _______ Zip _____________ Evening Phone ____________________________
Date of Birth ____________________ Age ________ Occupation ___________________________________
 Full Bodied Car
 Altered
 Dragster  Motorcycle
 Snowmobile
List of IHRA or ET Classes previously competed in: Class ___________ ET ___________ MPH ___________
Base Track _________________________________ Class ___________ ET ___________ MPH ___________
Other Tracks ________________________________ Class ___________ ET ___________ MPH ___________
I, the undersigned, do hereby understand the full provisions of the competitor’s license issued to me by the IHRA, and accept the responsibility of operating my
vehicle in a safe, sportsmanlike manner, and in accordance with all rules and regulations issued by the IHRA, and further, will accept any ruling by the IHRA
suspending my driver’s license rights in the event that I fail to strictly follow all of my responsibilities. I agree to abide by all rules, regulations and
requirements contained in the IHRA rulebook, related publications and any amendments issued by the IHRA subsequent to the issuance of my license. I hereby
agree and acknowledge that the Release and Waiver of Liability, Assumption of Risk, Indemnity and Rights Agreement which I have signed extends to all acts
of negligence or other wrongdoing by the Releasees, and is intended to be as broad and inclusive as is permitted under applicable law, and that if any portion
thereof is held invalid, it is agreed that the balance shall remain in full force and effect.
Date: ______________________ Driver’s Signature _______________________________________________
This Section To Be Filled Out By Track / Official and Licensed IHRA Competitors Only
This section not required for 11 sec or slower. 10-10.99 sec needs track official approval. Under 10 seconds requires passes.
(Current IHRA/NHRA License # ___________ Code ________ ) If NHRA transfer, passes not required.
(If passes are made on 1/8 mile track for Class B, you will receive a license restricted to 1/8 mile)
Facility Name ____________________________________________________________ O 1/4 Mile
O 1/8 Mile
1. 330”
E.T. ______
MPH _______
Track Official Witness ________________________________
2. Half Pass
E.T. ______
MPH _______
Track Official Witness ________________________________
3. Half Pass
E.T. ______
MPH _______
Track Official Witness ________________________________
4. Full Pass
E.T. ______
MPH _______
Track Official Witness ________________________________
5. Full Pass
E.T. ______
MPH _______
Track Official Witness ________________________________
This license is approved for one classification. Check the box to the left of the specific class.
CLASS
A
CATEGORY
Top Fuel Nitro Funny Car
Pro Fuel
Prostalgia Funny Car
Funny Car
Nitro Harley
Pro Mod Pro Stock
Nostalgia Fuel Altered
B
C
D
E
M
Top Sportsman
Quick Rod
Super Rod
Hot Rod
Motorcycle
Top Dragster
Super Stock
Super Stock
Stock
Snowmobile
ET Bracket
ET Bracket
ET Bracket
ET Bracket
Date
_________
_________
_________
IHRA Licensed Driver Name
______________________________
______________________________
______________________________
IHRA Member #
____________
____________
____________
¼ Mile Times
iTimes reflect
0 – 7.99
8.00 – 8.99
9.00 – 10.99
11.00 Down
1/8 Mile Times
Classes to left
0 – 5.49
5.50 – 5.99
6.00 – 6.49
6.50 Down
Signature
___________________________________
___________________________________
___________________________________
Date Approved __________________ Approved By ________________________________________________________
Revised 12/23/10
IHRA OFFICIAL OR TRACK OFFICIAL ONLY