REFUND POLICY:NO REFUNDS OR RAIN CHECKS ALL SALES ARE FINAL

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Racer Info
  *=Required Field
Event* 
Pre-Registration Closes: 4/28/2018
CLASS SELECTION 
First Name*      Last Name*
Home Street Address* 
City*  State/Prov*  Zip* 
Country* 
Birthdate*  MM/DD/YYYY
Parent/Guardian  If the racer is a minor, please input the name of the parent/guardian
E-Mail Address* 
 Example: bob@aol.com
Important, you must provide a valid e-mail address so that
a confirmation for your entry can be e-mailed to you.
Phone Number*  xxx-xxx-xxxx
Sponsors 
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The UNDERSIGNED hereby releases, waives, discharges and covenants not to sue the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, vehicle owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultant and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as “releases,” from all LIABILITY TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releases and each of them from any loss, liability, damage or cost they may incur arising out of or related to the EVENT(S) whether caused by the negligence or otherwise. THE UNDERSIGNED hereby assumes full responsibility for any risk of bodily injury, death or property damage arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASES or otherwise.

I have read this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me and extend my signature to be a complete and unconditional release of all liability to the greatest extent allowed by law. (If participant it under age 18, this form must be signed by his Parent of Legal Guardian.)