Text Box: Clay County Fairgrounds Summer Shootout Registration To Pre-Register please send this form to: Algona Raceway PO Box 659 Algona, IA 50511     NAME___________________________________CLASS______________ CAR #__________ ADDRESS_______________________________ CITY________________STATE_________________ ZIP____________ SS #________________________DATE OF BIRTH_____________________ HOME PHONE______________________CELL PHONE___________________________ 1099 to driver? _____ If not– Payee__________________________PAYEE SOCIAL SECURITY #________________ PAYEE ADDRESS______________________ CITY___________ STATE_______ZIP_____________