list in order of importance for recognition, separate with commas
Car Owner Information
Name is required; the rest only if different than the driver.
IWK 250 Entry Fee Payment
Price: $ 250.00
Includes five July 20 pit passes; $250 early bird rate ends June 21, price increase to $300 June 22, a release needs to be signed by each person at the gate prior to pit entry; pit area is restricted to those 18 and older; HST included.
A weekend pit pass includes admission to the Tailgate Party on July 18 plus pit admission July 19 and 20 (does NOT include pit admission for July 18 practice session). Upgrade MUST be purchased with this Entry Form. Upgrade price increases to $150.00 on June 22, HST included.
Includes pit admission for July 20; discounted pit passes MUST be purchased with this Entry Form; $50 early bird rate ends June 21, price increases to $60 June 22 or if purchased separately at the gate; release needs to be signed by each person at the gate prior to pit entry; pit area is restricted to those 18 and older; HST included
Includes admission to the Tailgate Party on July 18 plus pit admission for July 19 and for July 20 (does NOT include pit admission for July 18 practice session); discounted pit passes MUST be purchased with this Entry Form; $70 early bird rate ends June 21, price increases to $90 on June 22 or if purchased separately at the gate; release needs to be signed by each person at the gate prior to pit entry; pit area is restricted to those 18 and older; HST included
total amount shown will be charged to credit card provided below; HST included
Entry & Advertising Release
By submitting this form it is understood and agreed by the applicant that the driver's name and likeness may be used by Riverside International Speedway
(hereafter referred to as 'RIS') to promote this event. RIS reserves the right to decline entry of any participant for safety or other reasons. The applicant also understands and agrees that all decisions made by RIS or designated representatives shall be final and without recourse. In the event that the applicant is disqualified as a result of racing efforts, it shall be without restitution of any part of the fee paid in connection with this entry and further, the applicant waives any and all rights or claims to any purse or bonus money. The applicant further waives any and all rights for themselves, their agents and assigns, to institute any action, suits or proceeding, whether at law, or any other action against RIS and its officers, directors, agents and employees for any and all, manner or action and actions, cause and
causes of actions, suits, damages, and claims that the applicant and their heirs, successors, assigns may have not, or at any time in the future may have, arising in any manner of RIS promoted events. The applicant understands and agrees that this release constitutes a waiver of any and all claims for personal injury, breach of contract, and any other loss of damage except as expressly provided herein. Furthermore, the applicant acknowledges the support of racing fans, sponsors, the media, and the Promoter and agree they will compete on a best effort basis; and agree to notify RIS if they will not be competing in this event, realizing time is of the essence in this matter.
herein known as the 'applicant'; must be the driver or an authorized legal representative
This Entry Form and payment will be processed when "Submit' is clicked - please wait for thank-you message or notification of error - if there is an error it will be indicated by the field in question - fix and resubmit - once form has been processed you will receive two emails, 1) a copy of your entry and 2) a receipt for payment