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2020 Modified Kart Engine Information
A copy of your responses will be emailed to you. Please print this email and keep it with kart/engine for presentation to tech officials at track.
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* Indicates required question
Email
*
Your email
Have you submitted a Modified Kart Engine Builder Agreement (if no, this must be done before filling out this document)?
*
Yes
No
Approved Engine Builder Name
*
Your answer
Driver Name
*
Your answer
Engine Make and Type
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Your answer
OEM Engine Serial Number
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Your answer
LOORRS Seal Serial Number
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Your answer
What manufacturer is the piston in this engine (JE or OEM)?
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Your answer
What year and model engine are the cams used from?
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Your answer
What year and model engine are the valves in this engine from?
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Your answer
Date Sealed
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MM
/
DD
/
YYYY
I certify on penalty of disqualification from engine builder program that this engine meets all engine rules as specified in the current LOORRS/LORORS Kart Rule book as of the date I installed the seal.
*
Yes
No
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