2005 Season Pit Vehicle Registration and Agreement

Transcription

2005 Season Pit Vehicle Registration and Agreement
2014 SEASON PIT VEHICLE REGISTRATION AND AGREEMENT
IN CONSIDERATION FOR BEING PERMITTED TO UTILIZE AND OPERATE A MOTORIZED PIT VEHICLE ON THE PREMISES AT
ANY 2014 SEASON EVENT OR ACTIVITY, THE VEHICLE OWNER AND/OR COMPETITION ENTRANT:
1.
Acknowledges and agrees that the vehicle shall be operated in compliance with the vehicle manufacturer’s operating
instructions and/or industry standards including those regarding riding/driving position and number of passengers.
2.
Hereby assumes full responsibility for and assumes the risk of bodily injury, death or property damage arising out of or
related to the use of said vehicle whether caused by the negligence of owner and/or their operators, Raceway, other
pit vehicle operators or otherwise.
3.
Acknowledges and agrees that all operators of said vehicles shall be at least 16 years of age, have a valid state
required drivers license and carry adequate general liability insurance applicable to the operation of their pit vehicles
and that all operators shall provide such license, proof of insurance, and other applicable credentials upon the request
of a Raceway or event official.
4.
Hereby acknowledges that the use of motorized pit vehicles is dangerous and invokes the risks of serious injury
and/or death and/or property damage.
5.
Acknowledges that all registered pit vehicles MUST display the owner’s competition number and registration tag in a
clearly visible location/manner.
6.
Agrees that the pit vehicle will be operated in a responsible manner and according to all additional Raceway
regulations and instruction, including but not limited to posted speed limits, and hours of and allowed locations for
operations.
7.
Acknowledges and agrees that unsafe or improper operation of the pit vehicles and/or any violation of regulations and
instructions may, at the sole discretion of the Raceway, result in penalties against the owner and/or operators
including but not limited to immediate impoundment of the pit vehicle, loss of racing privileges for the day for the first
offense, and for the season for the second offense.
8.
Non-motorized vehicles such as tricycles, skates, skateboards, roller blades, razors, etc. MAY NOT BE RIDDEN ON
THE PREMISES AT ANYTIME BY ANYONE. Bicycles are permitted with out registration for those over the age of
16.
9.
This agreement is valid at all NHRA North East Division Member Tracks including; Atco Dragway, Cecil County
Dragway, ESTA Safety Park, Lebanon Valley Dragway, Luskville Dragway, Maple Grove Raceway, Mason-Dixon
Dragway, Napierville Dragway, New England Dragway, Numidia Dragway, Old Bridge Twp. Raceway Park, Quarter
Aces Drag-O-Way, Spencer Speedway, Toronto Motorsports Park, US 13 Dragway, and Virginia Motorsports Park.
Also included are all NHRA West Central & South Central Member Tracks.
10. This sticker is not valid at any NHRA Mello Yello National events.
2014 Season Pit Vehicle
Registration fee
Make
NHRA Membership
or Competition #
$50, I need insurance.
OFFICIAL USE ONLY
$10,I can provide my own insurance
See requirements on page 2, #15,
Golf Cart
Serial # Issued:
Pit Bike
Class
ATV
Color
State Drivers Lic. No.
Name
Phone:
Address
City
State
Zip
THIS SECTION MUST BE COMPLETED ONLY IF YOU ARE PROVIDING YOUR OWN INSURANCE THROUGH JAN. 1, 2015
Per Occurrence Commercial General Liability Policy Limits: Minimum $300,000
Insurance Company:
$
Policy Number:
Exp Date:
I affirm that I have read, understand, and agree to be bound by all Auxiliary Pit Vehicle rules, regulations, &
agreements listed and have been issued a copy of the “Raceway Auxiliary Pit Vehicle Rules.”
Signature
Date
ORIGINAL – MEMBER TRACK
COPY – NHRA DIVISION OFFICE