WSA Ice Oval Entry Form


Fill this form out and hit the SUBMIT button at the bottom.  You will need to fill out a form for each race.  You will also need to REGISTERED & PAYED IN FULL BY 10 am on the THURSDAY prior to the Race/Event your are registering for. Internet Registration closes at 10am Thursday prior to the race. Please read the Release at the bottom of this page prior to submitting this form.

Unless other arrangements are made between WSA and you/your team you must be paid in FULL, before you the racer can enter the track for practice or racing. If you fail to be paid in full / register by 10am on Thursday prior to the race you will be charged a $25 late charge at the upcoming event. This is all done to try and encourage racers to pre register so we can start on time on race day, and also so we can get a program together for the Fans.

Thank you & See you at the races, Nick

Please provide the following information:

                 Event MAKE SURE YOU PICK WHAT EVENT THIS ENTRY IS FOR!!!!!!

Name
Bib Number
Machine Brand
Street address
City
State/Province
Zip/Postal code
Home Phone
FAX
Soc. Sec. Number *Required for all PAYBACK classes
E-mail

 Please select from the following Classes:

 
THE FOLLOWING CLASSES ARE TROPHY ONLY
 
Junior Novice 10-13 380 Fan Complete STOCK sled $35.00
Junior I 380 Fan Stock 10 - 13 Stock motor & chassis, open suspension front & rear, and skis $35.00
Junior I 380 Sprint Ages 12-15 $35.00
Junior II 600 Sprint Ages 14-15 $35.00
Junior III 600 Sprint Ages 15-16 $35.00
Womens 380 Fan Runs On Sunday Only $35.00
Sportsman 600 $35.00
 
THE FOLLOWING CLASSES ARE TROPHY & PAYBACK
 
Formula 500 Payback Class $50.00
Sprint 503 Darcy Ewing Memorial $60.00
Sprint 500 Open $60.00
Sprint 600 Fan Stock $75.00
Sprint 600 Open $75.00
Semi Pro 440 Champ $60.00
Semi Pro Formula 600 (formerly Semi Pro Open 600) $60.00
Limited 500 $60.00
Limited 600 $75.00
Pure Stock 600 $75.00
Pro 440 Champ $110.00

Pro Formula 600 (formerly Pro Open 600)

$110.00
Driver Insurance (one time each weekend) IF YOU DO NOT CHECK THIS BOX YOU WILL STILL BE CHARGED IT ON YOUR CREDIT CARD IF YOU HAVE ONE ON FILE OR YOU WILL HAVE TO PAY BEFOR YOU RACE NO EXCEPTIONS $30
Credit Card Registration $5.00

Choose one of the following options:

All Memberships $125.00 (This is a one time annual fee) All Weekend memberships $40.00 (Only allowed 1 weekend)
Annual Membership Paid for this Season    

 

If you have already raced with us this year please list only NEW Sponsors or sponsors that you would like added.

 

BY SUBMITTING THIS FORM, THE ENTRANT INDICATES THEY HAVE READ AND AGREE TO THE RELEASE AND WAIVER

OF LIABILITY AND INDEMNITY AGREEMENT BELOW.

                            

 

 


Release and Waiver of Liability and Indemnity Agreement

In Consideration of being permitted to enter for any purpose any restricted area (herein defined as including but not limited to the racing surface, pit areas, infield, burn out area, approach area, shut down area and all walkways, concession and other areas appurtenant to any area where any activity related to the event shall take place), or being permitted to compete, officiate, observe, work for, or any purpose participate in any way in the event, each of the undersigned, for himself/herself, his/her personel representatives, heirs and nest of kin, acknowledges, agrees and represents that he/she has, or will immediately upon entering any of such restricted areas and will continuously thereafter, inspect such restricted area and that he/she finds and accepts the same as being safe and reasonably suited for the purpose of his/her use, and further agrees and warrants that if, at any time, he/she is in or about restricted areas and he feels anything to be unsafe, he/she will immediately advise the officials of such and will leave restricted areas:

1. Hereby releases, waives, discharges and Covenants not to sue the promoter, participants, racing association, sanctioning organization or any subdivision thereof, track operator, track owner, officials, owners, drivers, pit crews, any persons in restricted area, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the event and each of them, their officers and employees, all for the purposes herein referred to as "Releasees", from all liability to the undersigned, his personal representatives, assignees, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in the death of the undersigned, whether caused by the negligence of the Releasees or otherwise while the undersigned is in or upon the restricted area, and/or competing, officiating in, observing, working for, or for any purpose participating in the event.

2. Hereby agrees to Indemnify and Save and Hold Harmless the Releasees and each of them from any loss, liability, damages, or cost they may incur due to the presence of the undersigned in or upon the restricted area or in anyway competing, officiating, observing, or working for, or any purpose participating in the event and whether caused by the negligence of the Releasees or otherwise.

3. Hereby Assumes Full Responsibility for and Risk of Bodily Injury, Death or Property Damage due to the negligence of Releasees or otherwise while in or upon the restricted area and/or while competing, officiating, observing, or working for or for any purpose participating in the event.

Each of the Undersigned expressly acknowledges and agrees that the activities of the event are very dangerous and involve the risk of serious injury and/or death and/or property damage. each of the undersigned further expressly agrees that the foregoing Release, Waiver and Indemnity Agreement is intended to be as broad and inclusive as permitted by the Law of the Province or State in which the event is conducted and that if any portion thereof is held invalid, it is agreed that the balances shall, not withstanding, continue in full legal force and effect.

THE ABOVE ENTRANT HAS READ AND VOLUNTARILY AGREES TO THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, AND FURTHER AGREES THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.

THE ABOVE ENTRANT ALSO UNDERSTANDS THE NO REFUND OF ENTRY FEE POLICY.

Last revised: October 1, 2009