Podium 500 Registration Please enable JavaScript in your browser to complete this form.Legal Name *FirstLastiRacing Account Name *FirstLastPlease include your iRacing Account Name as it appears on your membership; this can differ from your legal name above.iRacing ID *Email *PhoneHometown *Address Line 1CityState / Province / RegionPostal CodeAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBolivia (Plurinational State of)Bosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo (Democratic Republic of the)Cook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Kingdom of)EthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIran (Islamic Republic of)IraqIreland (Republic of)Isle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea (Democratic People's Republic of)Korea (Republic of)KosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia (Federated States of)Moldova (Republic of)MonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth Macedonia (Republic of)Northern Mariana IslandsNorwayOmanPakistanPalauPalestine (State of)PanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania (United Republic of)ThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom of Great Britain and Northern IrelandUnited States Minor Outlying IslandsUnited States of AmericaUruguayUzbekistanVanuatuVatican City StateVenezuela (Bolivarian Republic of)VietnamVirgin Islands (British)Virgin Islands (U.S.)Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryPlease include your hometown. This information will be used in the production of the race broadcast. If applicable, please use the postal abbreviation of your State or Province in the "State / Province / Region" field. You may ignore the "Address Line 1" and "Zip Code" fields if you wish.Oval License Class *ABCDRookieOval Safety Rating *Oval iRating *Car Selection *Chevrolet Camaro ZL1Ford MustangToyota CamryPreferred Car Number *Please select your preferred car number. CAR NUMBERS WILL NOT BE ASSIGNED FOR PODIUM 500 QUALIFYING DAY; they will only be assigned for the 500 on Sunday. Though Podium eSports will take your preferences into consideration, car numbers will ultimately be assigned at Podium eSports' discretion.Second Choice Car Number *Please select a secondary car number in the event that your primary choice is taken.Third Choice Car Number *Please select a tertiary car number in the event that your secondary choice is taken. In the event that a driver qualifies for the Podium 500 and all three of their number choices are taken, Podium eSports will contact that driver(s) to confirm car numbers for the race on Sunday.Team NameSponsor 1If you have any primary sponsors please list them in the corresponding fields. No sponsors are permitted without a signed statement from the company giving you permission to use their logos. If you do not have any sponsors, please leave this field blank.Sponsor 2If you only have one primary sponsor, please leave this field and the rest of the sponsor fields blank.Sponsor 3If you only have two primary sponsors, please leave this field and the other sponsor field blank.Additional SponsorsIf you only have three primary sponsors, please leave this field blank. This field is not to be used for contingency sponsors.iRacing AchievementsWhat cars/ series/ leagues do you currently run on iRacing? Are you a former league champion at Podium or elsewhere? Have you won any major standalone events? Like the "Hometown" section above, this information will help the broadcast team highlight you during races.ReferralWhere did you hear about this event? Social Media? Podium eSports' website? A Twitch stream? Another driver? Please list your source here.Headshot Click or drag a file to this area to upload. Please upload a headshot if available for use on the broadcast. This picture will be used for on-screen graphics throughout the event. Headshots should be no smaller than 500px by 500px in size.WebcamYesNoDo you have a webcam at your rig that could be used in the event that Podium eSports interviews you during Podium 500 coverage?Age *18 or olderUnder 18Are you older or younger than 18 years of age?PayoutTo Legal GuardiansBy checking this box, you acknowledge as someone less than 18 years of age that if you earn a payout from the 2021 Podium 500, Podium eSports is required by law to pay your legal guardian directly, who can then send your winnings to you.Legal *I have read through and understand the 2021 Podium 500 Rulebook.I agree to the Terms and Conditions of Podium eSports.This field is required.Podium 500 Entry Fee *Price: $ 15.76Payment Method *PayPalCredit CardCredit Card Information *CardName on CardEmailSubmit Archives December 2020 November 2020 October 2020 September 2020 July 2020 April 2020 March 2020 February 2020 January 2020 December 2019 October 2019 September 2019 August 2019 July 2019 March 2019 February 2019 December 2018 November 2018 October 2018