Circle:
STREET STOCK MINI THUNDER CAR
MINI STOCK
KART
Number Requested 1st
Choice_______ 2nd
Choice________3rd Choice _______
Driver Name:________________________________________ Phone:____________
Soc Sec #________________________
Mailing Address : City
____________________________State ZIP_____________
Driver Date of Birth:_____________ Years Racing Experience:
Who is responsible
for earnings (IRS 1099 Form)?
If not the driver fill in Social Security # of person responsible:____________________
Mailing Address:
City:
__________State
ZIP
IF
YOU WANT SPONSORS ANNOUNCED YOU MUST CLEARLY PRINT THE INFORMATION ON A
·
I fully agree to
abide by the rules and regulations of the Mottville Speedway. I acknowledge that
I have received a copy of the rules and I fully understand that all decisions of
track officials are final!
·
I understand, accept
and agree that no ambulance or medical staff is on site.
·
I accept emergency
equipment and staff as adequate.
·
I fully understand
that I am racing at my own risk.
·
I understand that if
I am disqualified for rough driving, unsportsmanlike conduct, an illegal car,
drinking in the pits, speeding in the pits or any other form of disqualification
that I will be paid nothing for the night!
·
I fully understand
that the TIMING TOWER is off limits to all drivers, crew member, car owners
during the racing program and that if I go to the timing tower I will suspended
and/or fined as determined by track officials. I understand stock cars must
finish feature to be paid.
·
I understand the tire
and weight rule for my division and I understand that this registration can’t
be transferred to another division without an additional payment and cannot be
sold.
·
I understand that
that if I leave any used tires on track property the fine is $10 per tire and I
agree to pay it!
·
I fully understand
that racing is by its very nature a very dangerous sport and I agree to hold
totally blameless the Mottville Speedway, its owners and track officials for any
and all injuries suffered by me.
·
In the event of my
death I direct my estate to take no legal action against the Mottville Speedway,
its owners or track officials.
·
I understand that if
I do not race at the Mottville Speedway for a period of 3 Weeks my number will
no longer be reserved. Any car left at the Mottville Speedway 2 weeks without
racing will be disposed of with a $35 fee!
I
HAVE READ AND I FULLY UNDERSTAND THIS AGREEMENT AND AGREE TO ABIDE BY IT!
Driver Signature:____________________________________________Date:__________Print Name
_____
Car Owner Signature:_________________________________________ Date:_____________Print Name:_______________________
If driver is under
18 years of age I, the parent or legal guardian of the driver, by signing below
agree that I have read the above agreement and will abide by it and that I have
signed the MINOR RELEASE AGREEMENT for
the season and that I assume all responsibility for any and all injuries
suffered by the above named minor. I fully understand that track does not
promote the driving of race cars/karts by minors but will allow it based on my
assumption of the risk.
Parent/Legal Guardian Signature:___________________________________ Date:_____________ Print Name:___________________