Track Rental Request

one form is required per car

MAKING A REQUEST USING THE FORM BELOW DOES NOT GUARANTEE THE RENTAL, NOR DOES THE RECEIPT FOR PAYMENT THAT YOU WILL RECEIVE UPON SUBMITTING THE REQUEST; YOU WILL RECEIVE AN EMAIL WITH DETAILS ONCE YOUR REQUEST IS REVIEWED (GENERALLY WITHIN THREE BUSINESS DAYS)

Rental Information

Rental Date Requested *

weekdays are preferable

Time Slot/ Rental Fee *

Noon to 4 p.m. ($150)
4 p.m. to 8 p.m. ($150)
Noon to 8 p.m. ($300)

one form is required per car; a liability release and COVID-19 release will need to be signed by all team members prior to pit entry; HST is included

Purpose for Rental *

rental is for race car practice only, for one car; if you plan to bring more than one car per team you must indicate here

Track Rental Policy Acknowledgement *

I hereby acknowledge I have read, fully understand, and will abide by the Riverside International Speedway Team Track Rental Policy (use link below to review). I further understand and acknowledge that submitting this form does not guarantee my rental request.

click here to review the Riverside International Speedway Track Rental Policy

Driver & Car Information

Driver First Name *

Driver Last Name *

Is the Driver 18 years of age of older? *

Driver must be 19 years of age or older; or 16 to 18 provided an official notarized Minor's Release form is submitted by both parents and/or legal guardians at least 72 hours in advance of rental

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Phone *

Cell Phone *

Division *

Car # *

Team Information

Team Leader Name & Mobile Phone # *

responsible for the team, and for communications with the track while on-site (contactless wherever possible)

Team Members Who Will Attend Session *

MUST be 19 years of age or older; name changes must be submitted at least 48 hours prior to rental date

Emergency Contact Name *

Emergency Contact Phone *

Terms of Use

The Customer acknowledges they are using the facility for the purposes described herein, and assuming responsibility for all the persons on site who are affiliated with their team, at their own risk and are aware there is no insurance coverage provided herein. The Customer further acknowledges and guarantees that everyone who is with them on site is 19 years of age or older. Riverside International Speedway Limited, its agents or employees may enter upon the premises at any time and may take all actions necessary to enforce compliance with such rules and regulations. Furthermore, RIS, its successors and assigns, shall have the unrestricted right and license to use your image, likeness, name, and/or voice, and/or those of any minor accompanying you, in any live or recorded broadcast, telecast, picture, video, audio, audiovisual and/or other recording taken in connection with the Event or other transmission, distribution, public performance, or reproduction in whole or in part of the Event, for all purposes, worldwide, in perpetuity, and in any and all media now or hereafter known, without compensation to any person. The rights granted herein are assignable. The Customer acknowledges that due to the nature of the business of Riverside International Speedway, postponement may be necessary.It is agreed that both parties are independent contractors and that this Agreement does not create a partnership or joint venture. The Customer agrees to indemnify and hold harmless Riverside International Speedway Limited, its agents, employees, representatives, contractors and subcontractors from any and all losses, expenses, damages, demands and claims in connection with and arising out of any injury (including death) to any persons (whether an employee of Riverside International Speedway Limited, an employee of the Customer or third party) of damage to any property (whether owned by the Customer, or owned by third parties) sustained or alleged to have been sustained in connection with or to have arisen out of the activities conducted by the Customer at Riverside International Speedway under this agreement. It is agreed that there is no representation, warranty, collateral agreement or condition affecting this Agreement except as expressed in it. This Agreement cannot be transferred and is not assignable. By signing below the parties agree to all of the terms described herein.

Rental Request Form Completed By (the "Customer") *

First

Last

Relationship To Team *

Email Address *

Confirm Email

Payment

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Total

$ 0.00

By clicking Submit you are authorizing your credit card to be charged with the amount indicated in the Total section of this form. Please be patient after you click submit. If your form is processed successfully you will see a Thank You message and receive an email with receipt of payment. If there are errors they will be indicated by the appropriate field; please correct and resubmit.

Name