OFFICIAL ENTRY FORM

 

TRACK:        Wall Township Speedway (WTS)                           RACE:            34th Annual Turkey Derby

DIVISION:   Street Stock/Sportsman/MAD                                RACE DATES: November 23 & 24, 2007

                    Legend/Factory Stock/TQ                                        RAIN DATES: November 24 & 25, 2007

 

Friday, November 23, 2007  Saturday, November 24, 2007

Pit Gates Open: 5:30 AM Pit Gates Open: 7:00 AM

 

Purse Payout to be regular feature payouts.

 

You must supply track officials with your transponder information.

All cars must run Wall Township Speedway APPROVED Division Race Tires that are run weekly at WTS. Tires will be available at the track.

THERE WILL BE NO SOFTENING OF TIRES OF ANY KIND.

TIRES WILL BE INSPECTED PRE-RACE & POST-RACE.

OFFICIALS ARE ALLOWED TO INSPECT TIRES AT ANY TIME.

 

In consideration of WTS’S approval of this entry application and for the opportunity to participate in the Event, each of the undersigned agrees as follows:

 

ACKNOWLEDGMENT AND AGREEMENT TO ABIDE BY RULES: I acknowledge that I have read and understand all terms and provisions in the Official Entry Blank,
for this Event, and that I will abide by all such terms and provisions, as they may be amended from time to time, and by all decisions by WTS or its Officials
interpreting and applying them.

ADVERTISING AND PROMOTION RELEASE. WTS, its duly authorized agents and assigns, may use my name, likeness and performance, including photographs,
images and sounds of me and/or any vehicle (s) with respect to which I compete in WTS sanctioned Events, in any way, medium or material (including but not limited
to broadcasts by and through television, cable television,, radio, pay-per view, closed circuit television, satellite signal, digital signal, film productions, audiotape
productions, transmissions over the Internet, public and private online services authorized by WTS, and the like) for promoting, advertising, or reporting any
WTS sanctioned Event before, during and after such Event, and I do hereby relinquish to WTS all rights thereto for such purposes; provided, however, that,
except as specified otherwise herein, I shall retain the exclusive use of my name, picture and likeness in connection with product endorsements and the sale of products,
services, concessions and merchandise.

PERSONAL INJURY AND PROPERTY DAMAGE RELEASE. I hereby release and waive any and all claims pursuant to the
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT.

ENTRANT’S “GOOD FAITH TO THE PUBLIC PLEDGE.” In recognition of the support of the racing fans, and the effort and monies expended by the sponsors,
WTS and the Promoter in connection with the Event, I agree to use my best efforts to compete in the Event
.


Driver and Car Owner must abide by all WTS rules, regulations and decisions as well as the stipulations in the entry blank.
Print or type all requested information and sign. **Entry will be rejected if all information and signatures are not provided.


 

DIVISION: CAR #:

  TRANSPONDER #:

 

DRIVER’S NAME:
  SOCIAL SECURITY #:

 

DRIVER’S SIGNATURE:
  PHONE (Home)
(Cell)

 

ADDRESS:
  CITY: STATE: ZIP:

 

CAR OWNER’S NAME: (PRINT)
  CAR OWNER’S SOCIAL SECURITY #:

 

CAR OWNER’S SIGNATURE:
  CAR OWNER’S PHONE NUMBER:

 

ADDRESS:
  CAR SPONSOR’S NAME: (PRINT)

 

CITY: STATE: ZIP:
  MAKE OF CAR: YEAR:

 

MAIL TO PROMOTER BY: ENTRY DEADLINE, NOVEMBER 15, 2007.

THE ABOVE PORTION MUST BE COMPLETED & MAILED TO:

WALL TOWNSHIP SPEEDWAY, ATTN: SUSAN SIMPSON, 1801 HIGHWAY 34 SOUTH, WALL, NJ 07719

Phone: 732-681-6400 Fax: 732-681-0851