Car Information Car Number * Car Make/ Model * Home Series/ Track *
Will be used to determine provisional eligibility, if required.
Primary Sponsor * Associate Sponsors *
list in order of importance for recognition, separate with commas
Driver Information First Name * Last Name * Daytime Phone Number (Driver) * Cell Phone Number (Driver) * Home Track/ Series * Racing Accomplishments/ Experience * Car Owner Information
Name is required; the rest only if different than the driver.
Daytime Phone Number (Car Owner) Single Line Text IWK 250 Entry Fee Payment Entry Fee *
Includes five July 15 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 18 and older; HST included.
Upgrade Pit Passes Included With Entry Fee to Weekend Pit Passes *
A weekend pit pass includes admission to the Tailgate Party on July 13 plus pit admission July 14 and 15 (does NOT include pit admission for July 13 practice session). Upgrade MUST be purchased with this Entry Form.
total amount shown will be charged to credit card provided below; HST included
Email Address Where Receipt for Payment & eTickets Should be Sent * 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.
Acceptance Entry Form Submitted By *
herein known as the 'applicant'; must be 18 years of age or older and 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