2019 Trail-Way Speedway Reserve Number Form

2019 Trail-Way Speedway Reserve Number Form

1. All Drivers are required to reserve their racing number when entering any of the regular classes for the first time during the racing season. This number is reserved for the individual driver, not the car. Those drivers that wish to retain their previous years number, must complete this application, sign the release form below and send no later than February 15th in order to reserve your number for the next season, or that number may be available for other drivers to use. We ask you to please use (2) digit numbers on your race car. This makes it scoring friendly and fits the digits on the scoreboard. There is no cost.

2. This year, we will be using scoring transponders. The brand name is MYLAPS and the unit is the “X2.” You can either: A) rent one from the track, each race, for $10. You will need to submit a driver’s license until the transponder is returned- OR B) Buy a transponder by contacting MYLAPS at 678-816-4000, www.mylaps.com C) If you already own a transponder, verify that it is a MYLAPS transponder and provide the serial number. You must use a transponder bracket/holder. If you do not own a bracket/holder, they can be purchased at the track office. Check your class rules for attachment location or ask a tech official.

BY SIGNING THIS FORM A) I HAVE READ AND WILL ABIDE BY THE RULES THAT ARE FOUND ON THE TRACK WEBSITE, B) I MUST SUBMIT WORKING EMAIL ADDRESS FOR UPDATES C) I NEED TO HAVE A RACECEIVER AND A TRANSPONDER TO RACE D) I UNDERSTAND I MUST BE PRESENT AT THE BANQUET TO RECEIVE ANY YEAR END AWARD AND MUST RACE IN 80% OF COMPLETED RACES FOR THAT CLASS.

DRIVER INFORMATION

CAR OWNER INFORMATION

PERSON RESPONSIBLE FOR RECEIVING RACE WINNINGS (EVERYONE RECEIVING OVER $600 WILL RECEIVE A 1099 FORM)

DO NOT FILL OUT THIS SECTION IF YOU OWN YOUR OWN RACE CAR!

SPONSOR INFORMATION

TRANSPONDER INFORMATION

TRAIL-WAY SPORTS CLUB, INC.
DBA/ MOTORAMA EVENTS AND TRAIL-WAY SPEEDWAY

(A) THIS IS RACE LIABILITY RELEASE FOR APPLICANT NAMED ON REVERSE SIDE OF THIS FORM.
(B) PLEASE READ THE FOLLOWING AND COMPLETE ALL NUMBERS.
(C) Complete 1 through 3 when applicant is 18 years of age or older.
(D) Complete 1 through 7 when applicant is 17 years of age or younger.

In consideration of being granted an opportunity to race at any or all races sponsored by TRAIL-WAY SPORTS CLUB, INC. DBA/ MOTORAMA EVENTS, AND/OR TRAIL-WAY SPEEDWAY, I intend to be legally bound hereby:
I, for myself, my heirs, personal representatives and assigns, HEREBY RELEASE , DISCHARGE AND AGREE TO HOLD HARMLESS AND INDEMNIFY TRAIL-WAY SPORTS CLUB, INC. DBA/ MOTORAMA EVENTS AND/OR TRAIL-WAY SPEEDWAY, the promoters, property owners, the participants in scheduled events, the owners, sponsors and manufacturers of all racing equipment upon the premises, and the officers, directors, officials representatives, agents and employees of all of them, OF AND FROM ALL LIABILITY, LOSS, CLAIMS, DEMANDS AND POSSIBLE CAUSES OF ACTION that may otherwise accrue FROM ANY LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MY PERSON OR PROPERTY, in any way resulting from, or arising from, or arising in connection with, or related to, any scheduled event, and whether arising while engaged in competition or in practice or preparation therefore, or while upon, entering or departing from said premises, from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulations, failure to make inspections, or the negligence of other persons. I KNOW THE RISK AND DANGER TO MYSELF AND PROPERTY while upon said premises or while participating or assisting in a scheduled event and I DO SO VOLUNTARILY AND IN RELIANCE, not upon property, equipment, facilities and existing conditions furnished by others, but UPON MY OWN JUDGMENT AND ABILITY, AND I HEREBY VOLUNTARILY AND KNOWINGLY ASSUME ALL RISK FOR LOSS, DAMAGE OR INJURY (INCLUDING DEATH) TO MYSELF AND MY PROPERTY from any cause whatsoever and whether or not attributable in whole or in part to the negligence of others. I also hereby certify that I assume all responsibility for any transportation charges by ambulance and/or helicopter and waive my right of privacy concerning information regarding any injury incurred while on the premises that results in said transportation.
I hereby certify that I assume all responsibility for all charges, premiums, and taxes, if any, payable on any funds that I may receive as a result of my competitive activities, including without limitation social security taxes, unemployment insurance taxes, compensation insurance, income taxes and withholding taxes.
I hereby make oath and say to the best of my knowledge and belief all statements set forth in this report are true and correct and I have read the above Liability Release

Electronic Signature

Electronic Signature Agreement. By typing your name in the Electronic Signature box, you agree that your electronic signature constitutes a legal signature.

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