Karting Registration Form - Brighton Speedway

2023 Karting REGISTRATION

In order to participate in the 2023 racing events at brighton speedway, all entrants must complete and have on file with the speedway this registration.

If applicant is under 18 years of age, a minors parent release form must be signed & dated by both parents and filed with this appplication. All applicants must follow procedures as outlined in the rule book.

A $15 mandatory registration fee must be submitted with this registration in order to be eligible in the 2023 season.

Driver Name(Required)

First Last

Kart Number(Required)

Birth Date(Required)

SELECT YOUR DIVISION(Required)

Parent's Name(Required)

First Last

Parent's Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

SPONSORS(Required)

List your sponsors here in order of importance

Minor (Child) Photo Release

BY INITIALING HERE, I CERTIFY THAT I HAVE READ & FULLY UNDERSTAND THAT I AM AUTHORIZING THE BRIGHTON SPEEDWAY AND THEIR PHOTOGRAPHER TO USE MY CHILDS IMAGE.

As the Parent or Legal Guardian] of the registered child, grant Brighton Speedway and their Photographer my permission to use the photographs taken during GO Kart event for any legal use, including but not limited to; print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.

Parental Consent(Required)

BY INITIALING HERE, I CERTIFY THAT I HAVE READ & FULLY UNDERSTAND THIS AGREEMENT. I AGREE TO ABIDE BY ALL TERMS OF THIS AGREEMENT AND BY THE REQUIREMENTS OF THE RULES OF THE SPEEDWAY.

AGREEMENT
CONTRACT: I HEREBY CERTIFY THAT I AM AN INDEPENDENT CONTRACTOR, ASSUMING ALL RESPONSIBILITY FOR MONIES RECEIVED AS A RESULT OF MY ACTIVITIES AT BRIGHTON SPEEDWAY, INCLUDING WITHOUT ELIMINATING, INCOME TAXES, WORKMEN’S COMPENSATION AND WITHHOLDING TAXES.
I AM NOT AN EMPLOYEE, SERVANT OR AGENT OF THE SPEEDWAY.
CONSIDERATION AND COMPLIANCE: IN CONSIDERATION OF ACCEPTANCE BY THE SPEEDWAY OF THIS APPLICATION, THE UNDERSIGNED AGREES TO ABIDE BY ALL RULES AND REGULATIONS OF THE SPEEDWAY AS TO CONDUCT AND MECHANICAL SPECIFICATIONS AS NOW PUBLISHED OR HEREAFTER MODIFIED. UNDERSIGNED FURTHER RECOGNIZES HIS OBLIGATION TO THE PUBLIC AND THE SPEEDWAY, WHICH POSTS THE PRIZE MONIES AND CONDUCTS THE EVENTS, AND AGREES TO COMPETE IN ALL EVENTS FOR WHICH HE MAY BE QUALIFIED, IF HUMANLY POSSIBLE THAT RACE EVENT.
BENEFITS: I UNDERSTAND AND AGREE THAT I AND MY EXECUTORS AND ASSIGNS WILL BE ENTITLED TO THE BENEFITS OF THE COMPETITOR ACCIDENT INSURANCE POLICY PROCURED BY THE SPEEDWAY FOR ACCIDENTAL INJURIES OR DEATH WHICH OCCUR AS THE RESULT OF EXTERNAL, VIOLENT AND VISIBLE MEANS, SUSTAINED IN SPEEDWAY EVENTS. THE COVERAGE OF SAID POLICY SHALL CONSTITUTE THE LIMIT OF LIABILITY OF THE SPEEDWAY FOR SUCH INJURIES OCCURRING TO ME IN ANY SPEEDWAY EVENT, PROVIDED PROPER NOTIFICATION OF SUCH OCCURRENCE IS FILED WITH THE SPEEDWAY.
ADVERTISING RELEASE: THE UNDERSIGNED CONSENTS TO THE USE OF THEIR NAME AND/OR PICTURES OF THEMSELVES AND THEIR CAR, FOR PUBLICITY, ADVERTISING AND ENDORSEMENTS, BOTH BEFORE AND AFTER EVENTS, AND RELINQUISH ANY RIGHTS TO PHOTOS TAKEN IN CONNECTION WITH EVENTS, AND CONSENTS TO THE PUBLICATION OR SALE OF SUCH PHOTOS BY THE SPEEDWAY.
ARBITRATION; ANY DISPUTE, CONTROVERSY OR CLAIM INVOLVING THE UNDERSIGNED REGISTRANT, WHETHER OR NOT RELATING TO THIS AGREEMENT OR ALLEGED BREACH OF THE SAME, SHALL BE SETTLED IN ACCORDANCE WITH THE EXISTING AND/OR AMENDED RULES AND REGULATIONS OF THE SPEEDWAY, AND THE UNDERSIGNED AGREES TO ACCEPT THE DECISIONS RENDERED BY SUCH PROCESS.
NOTE: Competitors entrance fee contributes to the payment of the purse.

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RESULTS:	THURSDAY, SEPTEMBER 2ND
Box Stock 1
1	42	Liam Pakenham
2	87	Weston Mitts
3	07	Connor Vancott
4	09G	Grayson McColman
5	21	Mason Petherick
6	77	Max VanDyk
7	14	Wesley Hoard

Box Stock 2
1	2	Liam McPeak
2	10	Jase Patterson
3	23	Knoxin Wells
4	101	Albert Hodkinson
5	08L	Lily Ray
6	48J	Cole Cousineau

Rookie 1
1	0	Kolton French
2	01	Blake Gregory
3	19	Bentley Davidson
4	16s	Sophie Deline
5	27	Reilly Day
6	7	Tate Black

Rookie 2
1	44x	Tyler Green
2	10R	Riley Deline
3	19	Audrey Toms
4	20	AJ Peeters
5	70	Finley Mahoney
6	31	Brody Davidson
7	11	Carson cousineau
8	08	Chase Cousineau
9	07	Mason Richter
JR Sportsman 1
1	09	Charley Smith-Wilson
2	9	Rhys Massey
3	99	Bryce Massey

JR Sportsman 2
1	1	Coleson Gregory
2	35D	Dylan Moore
3	71	Trevyn McCrillis
4	9	Summer Vallier
5	9s	Cooper McKeown
6	22	Nolan Chatten
7	89	Kolby Ellis
8	8	Raiden Steane

JR Restricted
1	01	Tyson Gregory
2	99B	Jonelle Burke
3	93	Grace Hodkinson
4	21	James Markland
5	28	Ashton Sanderson
6	899	Cam Bristow

Stock Lite
1	11	Cole McKeown
2	74	Lexi Lucas
3	14	Holden Paul
4	48	Ryan Greig

RESULTS:	THURDAY, AUGUST 19th
Box Stock 1
1	09G	Grayson McColman
2	87	Weston Mitts
3	77	Max VanDyk
4	21	Mason Petherick

Box Stock 2
1	2	Liam McPeak
2	101	Jase Patterson
3	08L	Lily Ray
4	23	Albert Hodkinson
5	10	Cole Cousineau

Rookie 1
1	0	Kolton French
2	7	Tate Black
3	19	Bentley Davidson
4	01	Blake Gregory
5	27	Reilly Day
6	16s	Sophie Deline

Rookie 2
1	10R	Riley Deline
2	20	AJ Peeters
3	19	Audrey Toms
4	70	Finley Mahoney
5	31	Brody Davidson
6	09	Charley Smith-Wilson
7	80	Brock Beattie
8	44x	Tyler Green
9	11	Carson cousineau
10	07	Mason Richter
11
JR Sportsman 1

JR Sportsman 2
1	1	Coleson Gregory
2	8	Raiden Steane
3	57	Jacob Down
4	9s	Cooper McKeown
5	71	Trevyn McCrillis
6	89	Kolby Ellis

JR Restricted
1	01	Tyson Gregory
2	99B	Jonelle Burke
3	93	Grace Hodkinson
4	55	Carson Down
5	899	Cam Bristow
6	21	James Markland
7	28	Ashton Sanderson
Stock Lite
1	11	Cole McKeown
2	48	Ryan Greig
3	14	Holden Paul
4	74	Lexi Lucas

RESULTS:	THURDAY, AUGUST 12TH
Box Stock 1
1	42	Liam Pakenham
2	87	Weston Mitts
3	09G	Grayson McColman
4	21	Mason Petherick
5	77	Max VanDyk
6	14	Wesley Hoard

Box Stock 2
1	2	Liam McPeak
2	23	Albert Hodkinson
3	101	Jase Patterson
4	10	Cole Cousineau
5	08L	Lily Ray

Rookie 1
1	27	Reilly Day
2	19	Bentley Davidson
3	01	Blake Gregory
4	0	Kolton French
5	16s	Sophie Deline
6	7	Tate Black
7	97	Max Taylor
8
Rookie 2
1	19	Audrey Toms
2	20	AJ Peeters
3	44x	Tyler Green
4	31	Brody Davidson
5	70	Finley Mahoney
6	11	Carson cousineau
7	07	Mason Richter
8	10R	Riley Deline

JR Sportsman 1
1	9	Rhys Massey
2	09	Charley Smith-Wilson
3	99	Bryce Massey
4
JR Sportsman 2
1	71	Trevyn McCrillis
2	57	Jacob Down
3	9s	Cooper McKeown
4	9	Summer Vallier
5	8	Raiden Steane
6	89	Kolby Ellis
7	1	Coleson Gregory

JR Restricted
1	01	Tyson Gregory
2	55	Carson Down
3	899	Cam Bristow
4	28	Ashton Sanderson
5	99B	Jonelle Burke
6	93	Grace Hodkinson
7	21	James Markland
Stock Lite
1	74	Lexi Lucas
2	11	Cole McKeown
3	48	Ryan Greig
4	14	Holden Paul

RESULTS:	THURDAY, AUGUST 5TH
Box Stock 1
1	42	Liam Pakenham
2	87	Weston Mitts
3	09G	Grayson McColman
4	21	Mason Petherick
5	14	Wesley Hoard

Box Stock 2
1	101	Jase Patterson
2	23	Albert Hodkinson
3	10	Cole Cousineau
4	2	Liam McPeak
5	08L	Lily Ray
6

Rookie 1
1	0	Kolton French
2	7	Tate Black
3	16s	Sophie Deline
4	19	Bentley Davidson
5	97	Max Taylor
6	01	Blake Gregory
7	27	Reilly Day
8
Rookie 2
1	19	Audrey Toms
2	20	AJ Peeters
3	31	Brody Davidson
4	70	Finley Mahoney
5	10R	Riley Deline
6	08	Chase Cousineau
7	07	Mason Richter
8	11	Carson cousineau
9	44x	Tyler Green
JR Sportsman 1
1	80	Brock Beattie
2	9	Rhys Massey
3	09	Charley Smith-Wilson
4	99	Bryce Massey
JR Sportsman 2
1	1	Coleson Gregory
2	9s	Cooper McKeown
3	71	Trevyn McCrillis
4	9	Summer Vallier
5	8	Raiden Steane
6	57	Jacob Down
7	89	Kolby Ellis

JR Restricted
1	01	Tyson Gregory
2	21	James Markland
3	28	Cam Bristow
4	55	Grace Hodkinson
5	93	Carson Down
6	899	Jonelle Burke
7	99B	Ashton Sanderson
Stock Lite
1	14	Holden Paul
2	74	Lexi Lucas
3	11	Cole McKeown
4	48	Ryan Greig

RESULTS:	THURDAY, JULY 22ND
Box Stock 1
1	42	Liam Pakenham
2	87	Weston Mitts
3	82	Hayden Ferguson
4	09G	Grayson McColman
5	21	Mason Petherick

Box Stock 2
1	10	Cole Cousineau
2	101	Jase Patterson
3	2	Liam McPeak
4	48J	Knoxin Wells
5	23	Albert Hodkinson
6	08	Lily Ray
Rookie 1
1	7	Tate Black
2	01	Blake Gregory
3	16s	Sophie Deline
4	19	Bentley Davidson
5	97	Max Taylor
6	31	Brody Davidson
7	0	Kolton French
8	27	Reilly Day

Rookie 2
1	10R	Riley Deline
2	19	Audrey Toms
3	70	Finley Mahoney
4	08	Chase Cousineau
5	07	Mason Richter
6	20	AJ Peeters
7	11	Carson cousineau
8	44x	Tyler Green
JR Sportsman 1
1	9	Rhys Massey
2	09	Charley Smith-Wilson
3	99	Bryce Massey
4
JR Sportsman 2
1	71	Trevyn McCrillis
2	9s	Cooper McKeown
3	35D	Dylan Moore
4	1	Coleson Gregory
5	71	Trevyn McCrillis
6	9s	Cooper McKeown
7	57	Jacob Down
8	89	Kolby Ellis
9	99	Ethan Dobb

JR Restricted
1	55	Carson Down
2	899	Cam Bristow
3	93	Grace Hodkinson
4	21	James Markland
5	01	Tyson Gregory
6	99B	Jonelle Burke
7	28	Ashton Sanderson
Stock Lite	28	Ashton Sanderson
1	11	Cole McKeown
2	74	Lexi Lucas
3	14	Holden Paul
4	48	Ryan Greig

RESULTS:	THURDAY, JULY 15TH
Box Stock 1
1	42	Liam Pakenham
2	87	Weston Mitts
3	21	Mason Petherick
4	14	Wesley Hoard
5	09G	Grayson McColman
6	82	Hayden Ferguson
Box Stock 2
1	2	Liam McPeak
2	48J	Knoxin Wells
3	101	Jase Patterson
4	10	Cole Cousineau
5	23	Albert Hodkinson
Rookie 1
1	31	Brody Davidson
2	19	Bentley Davidson
3	0	Kolton French
4	27	Reilly Day
5	7	Tate Black
6	16s	Sophie Deline
7	01	Blake Gregory
Rookie 2
1	70	Finley Mahoney
2	10R	Riley Deline
3	19	Audrey Toms
4	11	Carson cousineau
5	44x	Tyler Green
6	07	Mason Richter
7	20	AJ Peeters
JR Sportsman 1
1	80	Brock Beattie
2	9	Rhys Massey
3	99	Bryce Massey
4	09	Charley Smith-Wilson
JR Sportsman 2
1	71	Trevyn McCrillis
2	9s	Cooper McKeown
3	35D	Dylan Moore
4	89	Kolby Ellis
5	9	Summer Vallier
6	99	Ethan Dobb
7	57	Jacob Down
8	22	Nolan Chatten
9	10	Landen Menard
10	1	Coleson Gregory
11	8	Raiden Steane
JR Restricted
1	01	Tyson Gregory
2	899	Cam Bristow
3	55	Carson Down
4	28	Ashton Sanderson
5	93	Grace Hodkinson
6	99B	Jonelle Burke
Stock Lite
1	48	Ryan Greig
2	74	Lexi Lucas
3	11	Cole McKeown
4	14	Holden Paul

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