Win/Loss & W2G Form Win/Loss & W2G Form URLThis field is for validation purposes and should be left unchanged.Name(Required) First Middle Last Address(Required) Street Address City State / Province / Region ZIP / Postal Code Date of Birth(Required) MM slash DD slash YYYY Email(Required) FastTrack Rewards Number(Required)Location(Required) Ellis Park Racing & Gaming Owensboro Racing & Gaming Document(s) Needed(Required) 2024 HHR Win/Loss Statement 2024 W2G Copies 2023 HHR Win/Loss Statement 2023 W2G Copies 2022 HHR Win/Loss Statement 2022 W2G Copies Method of Delivery(Required)Pick up at the CageMail to the address on fileCAPTCHA
