2013 Track Registration (Also able to secure your pit stall)

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2013 TRACK REGISTRATION
REDWOOD SPEEDWAY, LLC
400 E Bridge St # 1, REDWOOD FALLS, MN 56283

Reserved Parking: Circle one – $30.00 Back rows $60.00 Front Row

Track Registration Fee $25.00

DRIVER____________________________CLASS_______________CAR#___

ADDRESS_______________________________________

CITY___________________________________________
STATE_______________ ZIP_____________________
SOCIAL SECURITY #______________________

DATE OF BIRTH_____________________
E-Mail ADDRESS_____________________

HOME PHONE_________________ CELL#______________
CAR OWNER________________________________
1099 to driver? ____________If not payee name____________________________

PAYEE SOCIAL SECURITY #________________________ MUST BE FILLED OUT OR DRIVER WILL RECEIVE 1099

PAYEE ADDRESS______________________ CITY______________ STATE_______ZIP_____________
OVER Please

AGREEMENT:

CONTRACT: I hereby certify that I am an independent contractor. Assuming all responsibility for money received as a result of my activities at the Speedway, including without eliminating, income taxes, FICA, workman’s compensation. I am not an employee, servant or agent of the Speedway.

CONSIDERATION & COMPLIANCE: In consideration of acceptance by the Speedway of this application and payment of registration & license fees the undersigned agrees to abide by all the rules and regulation of the Speedway as to conduct and mechanical applications as now published or hereafter modified. The undersigned further recognizes his obligation to the public and to the Speedway, which posts the prize monies and conducts the events and agrees to compete in all events for which he may be qualified. We reserve the right to refuse anyone due to slander, libel, defamation, etc.

BREACH & DAMAGE: In the event the undersigned breaches this agreement, he shall be liable for actual and liquidated damages sustained by the Raceway as a direct or indirect result of such breach.

BENEFITS: I understand and agree that myself and my executors and assigns will be entitled to the benefits of the Competitor Accident Insurance Policy procured by the Speedway for accidental death or injuries which occur as the result of external, violent and visible means sustained in Speedway events. The coverage of said policy shall constitute the limit of liability of the Speedway for such injuries occurring to me an any Speedway event, provided proper notification of such occurrence is filed with the Speedway.

ADVERTISING RELEASE: The undersigned consents to the use of his name and/or pictures of himself and his car for publicity, advertising and endorsements, both before and after events, and relinquished any rights to photos taken in connection with events, and consents to the publication or sale of such photos by the Speedway. This includes any video or delayed transmission of images.
ARBITRATION: Any dispute, controversy or claim involving the undersigned, whether or not relating to this agreement of same, shall be settled in accordance with existing and/or amended rules and regulation of the Speedway, and the undersigned agrees to accept the decision rendered by such process.

BY MY SIGNATURE BELOW, I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THIS AGREEMENT.
I AGREE TO ABIDE BY ALL TERMS OF THIS AGREEMENT AND THE RULES OF THE Redwood Speedway,LLC.

SIGNATURE_________________________________________________ DATE_______________

PARENT/GUARDIAN OF MINOR__________________________________

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