Name is required; the rest only if different than driver.

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.

Entry form and payment will be processed when "Submit' is clicked.