UPDATE 3/30/18: DUE TO THE WEATHER, THE ICEBREAKER 100 HAS BEEN MOVED TO APRIL 22nd.

If your planning on racing this event please sign up early
so we can advertise your coming, its good for you, your sponsor, and us.

All tires must be purchased at track.
PERSONAL INFORMATION
Driver Name: 
Phone: 
Address: 
City: 
State: 
Zip: 
Email Address: 
Car #: 
Make & Model: 
Car Colors: 
Main Sponsors: 
Racing Accomplishments: 
SEND 1099 INCOME TAX FORM TO
Send To:   Driver    Business    Owner  
SSN or FEIN#: 
Owner/Business Name: 
Owner/Business Address: 
Owner/Business City: 
Owner/Business State: 
Owner/Business Zip: 
ENTRY FEE:  $100 (before April 1st)
BILLING INFORMATION
NAME ON CARD: 
CC NUMBER: 
EXP DATE:   / 




Racer Entry Fees:
Super Late Model:
Before April 1st: $100
After April 1st: $150


PIT PASSES:
Saturday: $20
Sunday: $35
UMA Member
Two Day: $50




Over 6000 in Points Fund.
1st race of the alive for five, must be a UMA member to receive point fund money.

Over $100,000
paid out for the Alive for 5!
N1070 Smith Rd.   Wisconsin Dells, WI 53965    Phone: 608-253-7223