2027 Area Qualifier and Regional Qualifier Sanction Request

Area Qualifier and Regional Qualifier Sanction Request

Sanction Application
- AN AMA SANCTION IS AN EVENT WITH A SINGLE SET OF RESULTS. IF YOUR EVENT HAS MORE THAN ONE SET OF RESULTS, YOU WILL NEED TO PROVIDE A SEPARATE SANCTION APPLICATION FOR EACH SET OF RESULTS.
- Important: Public/spectator and participant legal liability insurance is required before sanction will be valid.
- Use of the AMA-endorsed insurance program for event liability insurance is required.
- AMA Membership is required for a race associated practice day.
- Event title must be listed as: 2027 Loretta Lynn's [add your region] Area Qualifier / Regional Qualifier
- The application submission for a qualifier does not mean that you are approved. AMA will reach out in the fall with the status of your application.
Promoter/Club Information
Promoter/Club Name
Charter #
Contact Person

First NameLast Name
Contact Email
example@example.com
Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Event Information
Event/Series Title (to be displayed on AMA website)
Event Region
Preferred Race Start Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Preferred Race End Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Additional Notes
File Upload

Cancelof
Track Name
Track Address

Street Address

Street Address Line 2

CityState

Zip Code
Website (Published)
Email (Published)
example@example.com
Phone (Published)
Please enter a valid phone number.Format: (000) 000-0000.
Referee Name

First NameLast Name
AMA #
Risk Management Officer Name

First NameLast Name
AMA #
Sanction Information

Check all that apply
Type of Sanction Requested
Additional Sanction Types Requested
Event Designation
* Indicates an event that needs a contract agreement and/or AMA approval. For more information on applying, please contact AMA at (800) 262-5646.

Payment Information

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Promo Code
Total
Certification
I hereby agree to follow all rules as established by the Association as outlined within all rulebooks and acknowledge that the meet premises and facilities meet all guidelines noted therein and also agree that a system is in place to secure Liability Release and Waiver forms for all participants. BY SIGNING BELOW, I AGREE THAT I HAVE READ THE INFORMATION HEREIN.
Sanction Applicant Signature
Title
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Should be Empty:

Area Qualifier and Regional Qualifier Sanction Request

Promoter/Club Information

Event Information

Sanction Information

Payment Information

Certification