Forms
9053 CO.HWY 196  ~    Lamar, CO. 81052
IMCA Modified,  IMCASuper Stock, IMCA Hobby Stock
Hobby Trucks, Econos, Mini Stocks, Anything Goes
                         
                                           

                   MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
                                        (READ CAREFULLY BEFORE SIGNING)

        __________________________                        ________________________
                NAME OF TRACK AND/OR EVENT                                                             EVENT DATE(S)

    IN CONSIDERATION of allowing the below MINOR participant to compete, officiate, observe, work for, or participate (“participate”) in any way in
    the above event and/or activities (“EVENT(S)”) and/or being permitted to enter for any purpose any RESTRICTED AREA (defined as any area
    requiring specialty authorization, credentials or permission to enter or any area to which admission by the general public is restricted or
    prohibited, including but not limited to the competition area and any hot pit or paddock area), EACH OF THE UNDERSIGNED, for himself/herself,
    his/her personal representatives, heirs, and next of kin agrees that:

    1. THE MINOR AND PARENT OR GUARDIAN will immediately inspect the RESTRICTED AREA upon entering it and warrants that their entry
    thereinand/or the MINOR’S Event participation constitutes an acknowledgement that they have inspected the RESTRICTED AREA and find it
    safe and reasonably suited for the purpose of its use. The undersigned agree that if at anytime in the RESTRICTED AREA they believe something
    to be unsafe, twill be brought to the attention of an official, and they will remove themselves from the RESTRICTED AREA and the MINOR will
    withdraw from participation in the Event.

    2. THE MINOR AND PARENT OR GUARDIAN HEREBY ASSUME FULL RESPONSIBILITY FOR THE RISK OF BODILY INJURY, DEATH OR
    PROPERTY DAMAGE due to negligence of Releases (as identified below) or otherwise, while in or upon the RESTRICTED AREA for any purpose
    and/or while participating in any way in the Event. The undersigned recognize and understand that there are risks and dangers associated with
    participation in the Event and admission within the RESTRICTED AREA that could cause severe bodily injury, disability, and death. Further, the
    risks
    and dangers may be caused by the negligent failure to act of the Releases and others. All of the risks and dangers associated with participating in
    the
    Event and/or entry into the RESTRICTED AREA are assumed notwithstanding.

    3. THE MINOR AND PARENT OR GUARDIAN release, waive, discharge, and covenant not to sue the promoters, participants, racing associations,
    sanctioning or administrative organizations or any affiliated entities thereof, track operators, track owners, officials, car owners, drivers, pit crews,
    all
    persons in any RESTRICTED AREA, sponsors, advertisers, owners, lessors and lessees of premises used to conduct the Event, premises and event
    inspectors, surveyors, underwriters, brokers, consultants and others who give recommendations, directions, or instructions, or engage in risk
    evaluation or
    loss control activities regarding the premises or EVENT(S) and for each of them, their directors, officers, agents, and employees (all for the
    purposes
    herein referred to as (“Releases”), from all liability to ourselves, the undersigned, our personal representatives, assigns, executors, heirs, and next of
    kin,
    for any and all claims, demands, losses or damages of the MINOR and/or parent or guardian on account of any injury, including, but not limited
    to the
    death or injury of the parent/guardian or MINOR or damage to property, all of which is caused or alleged to be caused by the negligence of the
    Releases
    or otherwise.

    4. THE PARENT AND/OR GUARDIAN hereby agrees to indemnify and save and hold harmless, the Releases and each of them from any loss,
    liability,
    damage, or cost they may occur due, in any manner or degree, to the presence of the parent/ guardian or the MINOR in the RESTRICTED AREA,
    or
    related in any way to their participation in or presence at the Event and whether caused by negligence of the Releases or otherwise. The parent
    and/or
    guardian further recognize and agree they are executing this Waiver and Release of Liability and Indemnity Agreement on behalf of themselves
    and on
    behalf of the MINOR.

    5. This release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releases,
    INCLUDING
    NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which
    the
    Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal
    force and
    effect.

    THE PARENT OR GUARDIAN HAS READ AND VOLUNTARILY SIGNS THE WAIVER AND RELEASE OF LIABILITY AND INDEMNITY
    AGREEMENT AND DOES SO VOLUNTARILY AND WITH THE UNDERSTANDING THAT SUBSTANTIAL RIGHTS ARE BEING GIVEN
    UP.
    I/ WE FURTHER ACKNOWLEDGE THAT FAILURE TO WITNESS OR NOTARIZE THIS AGREEMENT SHALL NOT AFFECT ITS
    VALIDITY.

    I HAVE READ THIS RELEASE
    __________________________                                                   Father/Mother/Guardian    _________________________________          
    Parent or Guardian (Signature)                                                                          (Circle One)                                         Date
    ________   I represent that I have sole legal custody or am the sole parent/guardian
    (INITIAL)
    I HAVE READ THIS RELEASE                                                                 Father/Mother/Guardian   __________________________________
    __________________________________
    Parent or Guardian (Signature)                                                                            (Circle One)                                          Date

    Printed Name of MINOR Participant:   _______________________________________              D.O.B.  _________

    Printed Name of Parent or Guardian:   ______________________________________________________________

    Printed Name of Parent or Guardian:   ______________________________________________________________               SEAL

    (If Notarized) Subscribed and Sworn to at:  _________ Before me     ____________this day  __________A.D. 20____

    ____________________________________                                     ______________________________________
    Signature of Event Official Or Notary Public                                          Printed Name of Event Official or Notary Public

    County, ______________   State of  ______________-   My Commission Expires:____________________________



    Minor MS Waiver                                         Printable Copy
                                                 



                                                2014 Lamar Speedway
                                          Driver Registration and Information
                                                 Registration Fee $50.00
                                      $25.00 for all Lamar Racing Club Member

    NAME: ____________________________________________________________

   AGE: _______________ BIRTHDAY: _____________ TELEPHONE: (___) _________

   ADDRESS: __________________________________________________________

   CITY: _______________________ STATE: ________ ZIP: _______________

   EMAIL ADDRESS____________________________________________________

   IN CASE OF EMERGENCY CONTACT:_____________________________________

   CONTACT PHONE: (_____) _________________________

  New Driver: ______Experienced Driver: ______Years of Racing ________Class____________________


  Information for Track Announcer:
  
 ___________________________________________________________________________
 ___________________________________________________________________________
 ___________________________________________________________________________

     Success Results: _____________________________________________________________
                      
                        Class: ___________________            Car Year_______________                                     
                      
                         Make____________________             Car#: _________________

                        Color: ____________________            Engine Size: ________________

Sponsors: ___________________________________________________________________
 __________________________________________________________________________
 __________________________________________________________________________


If under the age of 18 on May 1, 2014 you must have a Lamar Speedway minor’s release form signed    
and on file before you are allowed to race.
Minor‘s release signed: _______YES _______ NO

   Please return registration form and fee to:Lamar Racing Club PO Box 501 Lamar CO 81052