Dash 4 Cash Competitor Info / Pro Stock – Riverside International Speedway

Car Information

Car Number *

Car Make/ Model *

Division *

Pro Stock
Legends

What is your Home Track or Series? *

Primary Sponsor *

Associate Sponsors *

list in order of importance for recognition, separate with commas

Driver Information

First Name *

Last Name *

Address (Driver) *

Address Line 1

City

State / Province / Region

Postal Code

Country

Daytime Phone Number (Driver) *

Cell Phone Number (Driver) *

Email (Driver) *

Email

Confirm Email

Racing Accomplishments/ Experience *

Car Owner Information

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

Is the Car Owner information the same as the driver? *

Yes
No

Car Owner Name *

First

Middle

Last

Address (Car Owner)

Address Line 1

City

State / Province / Region

Postal Code

Country

Daytime Phone Number (Car Owner)

Winnings will be paid by direct deposit (DD); have you sent the DD authorization form yet? *

Yes
No

The DD authorization form is included in the 2025 Competitor Package, or request it by emailing info@riversidespeedway. In order to ensure prompt payment, please be sure the form is in our hands no later than July 10.

July 16 Entry Fee Payment

Entry Fee *

Price: $105.00

Includes three July 16 pit passes. eWaiver required and a release needs to be signed by each person at the gate prior to pit entry; pit area is restricted to those 19 and older; HST included. Tickets will be emailed the week before the event; if you haven't seen them by July 14, please email info@riversidespeedway.ca.

Would you like to add extra Pit Passes for your team? *

No
Yes

Meant for team members working in the pit, only. Extras MUST be purchased with this Entry Form. Maximum quantity is 10 (three included with Entry plus as many as seven more).

Make your extra Pit Pass selection here using dropdown arrows for type and quantity: *

These discounted tickets are meant for working crew only. Extras MUST be purchased with this Entry Form. Max discounted pit passes per team is 12 (three are included with your Entry plus as many as seven more offered here).

Total *

$0.00

total amount shown will be charged to credit card provided below; HST included

Stripe Credit Card *

Card

Name on Card

Email Address Where Receipt for Payment & eTickets Should be Sent *

Email

Confirm Email

Tickets will be emailed the week before the event; if you haven't received yours by July 14 please let us know by emailing info@riversidespeedway.ca. You'll need them at the gate for entry.

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.

Cell Is (Car

Acceptance

Minor Agreement *

I understand and agree that anyone entering the infield with my team will be 19 years of age or older, or have a valid Minor Access to Pit Card issued by RIS (available at www.riversidespeedway.ca/for racers, application MUST be submitted at least seven days prior to desired infield entry).

Terms *

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SUBMITTING THIS AGREEMENT I AM WAIVING CERTAIN SUBSTANTIAL LEGAL RIGHTS WHICH I AND MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES. I SUBMIT THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT.

Entry Form Submitted By *

First

Middle

Last

herein known as the 'applicant'; must be 18 years of age or older and the driver or an authorized legal representative

Complete Entry

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

Contact Info

July 16 Entry Form & Information (Competitors)

Entry Form / July 16 (Pro Stock & Legends)