PERSONAL INFORMATION

Name (First and Last):

Nickname:

Hometown (City and State):

Birth date:

Car (ex. 1959 VW Bug, 1968 VW Notchback):

PRA Class:

PRA Number:

Year Joined PRA:

Primary Sponsor (include link):

Associate Sponsors (include link):

Championships Won (Class and Year):

Favorite Track:

Occupation:

Family (Wife, Children, Pets, Etc):

Personal Website:

E-Mail Address:

Quickest 1/4 Mile ET (Location):

Fastest 1/4 Mile MPH (Location):

Greatest Accomplishment:

ENGINE INFORMATION

Builder (Name / Company):

Displacement:

Crank:

Rods:

Pistons:

Cam:

Lifters:

Heads:

Rocker Arms:

Pushrods:

Ignition:

Carburetion:

Exhaust System:

Flywheel:

Clutch:

Special Modifications:

TRANSMISSION INFORMATION

Builder (Name / Company):

Type:

Ring & Pinion:

Gear Ratios (1st / 2nd / 3rd / 4th):

Special Modifications:

MISCELLANEOUS INFORMATION (SPECIAL THANKS, KUDOS, ETC.)

Please e-mail jlculley@gmail.com with any photographs (action, motor, personal) you would like added to your racer profile.