(Title if Corp) ______________________________________________________________________________________________________
Disclaimer: I understand that my signature
here makes me a member of Plymouth Speedway. I agree to abide by the
racing rule book of Plymouth Speedway and its interpretation by officials.
I hereby give my permission to use photographs of myself and/or race
car as part of their racing publicity promotions. I agree not to hold
Plymouth Speedway responsible for disqualification or damage to either
car or driver and I agree that I consider the track is in safe racing
condition when I take part in any racing activity.
*Note: Checks will be made payable to the person listed on your
registration form as the recipient of the 1099.