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Driver retains top portion as receipt EACH CLASS REQUIRES A SEPARATE REGISTRATION FORM BACK GATE ADMISSION IS 20.00 FOR EVERYONE IN ADDITION TO EACH REGISTRATION Drivers Name: Car : Class: Address: City: Postal Code: Telephone Number: E-mail address: Car Make, Model and Year: Sponsors: If my application for entry is accepted, I hereby agree to participate and to comply with all rules, regulations, and policies.. I further agree that neither the producer, the sponsor, nor any officer, director or shareholder thereof, or the owner of the Speedway at which the race is produced, shall be responsible or liable for any loss or damage or injury to all or any part of my vehicle and/or person and I do hereby waive any rights I may have against him or any of them for such loss, damage or injury..