By submitting my driver registration form, I acknowledge having read, understand and voluntarily submit this application to be a participant as a driver, crew member, owner, guest or sponsor at racing functions during the 2017 racing season, sponsored and/or promoted by Boone Speedway, and the issuance of a license by the Central Iowa Racing Association.
I acknowledge that an annual membership fee is required and tendered herewith, which entitles me, for the 2017 calendar year, to be an associate member of the Central Iowa Racing Association, thereby, entitles me to participation in the racing functions sponsored and/or promoted by Boone Speedway.
I agree to abide by the current rules and regulations of Boone Speedway and/or the Central Iowa Racing Association and as they may be amended from time to time.
I understand and agree to accept any and all penalties, suspensions and decisions against me by Boone Speedway and/or the Central Iowa Racing Association.
I understand that this license, issued by Central Iowa Racing Association and Boone Speedway is nontransferable, and must be presented at the pit gate to purchase a participant pass for entry to restricted areas of the racing functions.
I also understand that stock car auto racing can be a dangerous sport and the pit-infield area is restricted to participants and those persons involved with a race car. I accept full responsibility for injury to myself and release Central Iowa Racing Association and Boone Speedway from all liability of any injury.
I further grant unconditional permission to Boone Speedway, and/or the Central Iowa Racing Association use of my name, likeness, car number, photos, personal information, and any other information as well as that of my sponsors, crew and owners as they see fit for promotional, marketing, reporting and any other purposes.
I certify that all the above information is correct. I also understand that in order to be paid purse money and to have my track points officially recorded, I must return this membership form, fully completed with payment to the track’s chief scorekeeper or designated officials.