CONTRACT: I am an independent contractor assuming all responsibility for money received as result of my speedway activities including income tax, FICA, workers compensation and withholding taxes. I am not an employee, servant or agent of Oglethorpe Speedway Park.

BENEFITS: I agree that myself, Executors and assigns will be entitled only to benefits of the Competitor Accident Policy procured by the Speedway for accidental injuries which are a result of external, violent and visible means sustained in Speedway events. The foregoing shall constitute the limit of liability of Oglethorpe Speedway Park for such injuries occurring to me in any Speedway event provided proper notification is given.

COMPLIANCE: The undersigned agrees to abide by all rules and regulations of the Speedway now published or hereinafter modified. The undersigned acknowledges having read, understood and voluntarily understands this agreement and the rules of the Speedway and agrees to abide by the current rules and regulations of Oglethorpe Speedway Park now published and hereinafter modified. In consideration of the acceptance by the Speedway of this agreement, the undersigned recognizes his/her acceptance to all Oglethorpe Speedway Park official’s decisions, penalties and suspensions with the possibility of the membership being revoked at any time when this agreement has been breached. The undersigned understands that stock car racing can be a dangerous sport and the pit area is restricted to those persons involved with the race car. The undersigned accepts full responsibility for injury to themselves and releases Oglethorpe Speedway Park from all liability resulting from any injury.

ADVERTISING RELEASE: The undersigned consents to the use of his/her name, pictures or video of himself/herself and their car for publicity, advertising and endorsements both before and after the events, and relinquishes any rights to photos or footage taken in connection with events and consents to the publication or sale of such photos as the Speedway so desires.

ARBITRATION: Any controversy or claim arising out of or relating to this agreement, including any alleged breach, shall be settled in accordance with the rules and regulations of this Speedway and the undersigned agrees to accept the decision rendered by this process.

I HAVE READ AND FULLY UNDERSTAND THIS AGREEMENT. I AGREE TO ABIDE BY ALL TERMS OF THIS AGREEMENT AND THE REQUIREMENTS OF ALL THE RULES SET FORTH BY OGLETHORPE SPEEDWAY PARK.

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Member Signature                                                                              Parent (if member is a minor)

Date:_____________________________________                * must also have parent release form on file