Open Practice Thurs,
September 14th must be entered in race event to participate
Address:
Street -________________________________City - _________________________
State
- _____________Zip Code - ___________
Car Owner Name: _____________________
Car
Owner S.S. # __________ / __________ / ___________
Phone
Number: (Days)
___________________________ (Evenings) ____________________
Home
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
Mini
Stock
.$30 please make checks payable
to: Race of Champions
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
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 _________________________