56th ANNUAL SUNOCO RACE OF CHAMPIONS OFFICIAL ENTRY FORM

Oswego Speedway – September 14th, 15th and 16th, 2006

Open Practice – Thurs, September 14th – must be entered in race event to participate

 

Driver Name: _______________________________________________ Car # _____________

 

Address: Street -________________________________City -    _________________________

 

State - _____________Zip Code - ___________  Car Owner Name: _____________________

 

Car Owner S.S. # __________ / __________ / ___________

 

Phone Number:  (Days) ___________________________ (Evenings) ____________________

 

Home Speedway: ________________________Cell Phone:       _________________________

 

E-mail Address: __________________________  Driver Website: ______________________

 

Please be sure to fill out every part of this form.  It is important to have a complete mailing address/e mail address and phone number in event of rain, delays or other information that could be a benefit to your team.

 

Early Entry Fee Must Be Received Prior to Sept. 1st.  After Sept. 1, 06 Add $15 Each Class.  Entry Fee Must Be Paid For Each Car and Class Entered.

 

PLEASE CIRCLE CLASS…

Modified………………………….$40                          Mail To:  Race of Champions

Sportsman……………….……….$35                                c/o Race of Champions

Late Model…………….....………$30                                                 P.O. Box 2828

Super Stock…………….………..$30                                Binghamton, NY  13902

Mini Stock……………………….$30               please make checks payable to: Race of Champions

Street/Factory Stock……….……$30

Enduro…………………………...$30               

Mini Stocks please check type of car: dirt______ front wheel _______ rear wheel_______

 

For Entry Information Call the R.O.C Office at (607) 775-5555/Fax: (607) 775-3417

For Ticket Information Call the Oswego Speedway at (315) 342-0646/Fax: (315) 343-3829

 

IN CONSIDERATION of the acceptance by Oswego Speedway, Inc. (Oswego Speedway) of the 2006 Race of Champions Entry Blank, my being permitted on the Oswego Speedway premises for any event, or any of the foregoing, I for myself, my heirs, next of kin, personal representatives and assigns, FOREVER RELEASE, REMISE and FOREVER DISHCAHRGE and AGREE TO HOLD HARMLESS and INDEMNIFY OSWEGO SPEEDWAY, INC. THE PROMOTERS PRESENTING EVENTS or the owners (lessors) of the premises on which Oswego Speedway events are presented, the participants theron, and the owners, sponsors and manufacturers of all racing equipment used in Oswego Speedway events, the officers, directors, agents employees and servants of all of them, including Oswego Speedway officials and Oswego Speedway license members, of and from all liability, claims, action and of possible causes of action whatsoever, including negligence of any of the foregoing, that may accrue to me or my heirs, next of kin and personal representatives from every and any loss, damage and injury, including death, that may be sustained by my person and property while in , about and enroute in to  and out of Oswego Speedway premises. ABSOLUTELY NO FEFUNDS!

 

 

 

 

Signed ___________________________________________________________ Date _________________________