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

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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"Thursday	June 15th"
	Kart #	Name
Box Stock 1
1	797	Luke	Cuthbertson
2	29	Deegan	Sudsbury
3	37	Ella	Wannamaker
4	11	Bentley	Fulton
5	03	Luke	Ramsay
6	68	Gunner	Ellis
7	39	Lucas	Wannamaker
8	5	Liam	Baldwin
Box Stock 2
1	29	Lily	Walters
2	92	Race	Turner
3	77	Max	Van Dyk
Rookie 1
1	87	Weston	Mitts
2	15	Charlotte	de Wal
3	48	Knoxin	Wells
4	07	Conor	Vancott
Rookie 2
1	88	Reagan	Grimmon
2	14	Chase	White
3	08	Lilly	Ray
4	2	Liam	McPeak
5	54	Rae-lynn	Branscombe
6	10	Hanna	Merry
JR Sportsman 1
1	01	Blake	Gregory
2	7	Tate	Black
3	19	Bentley	Davidson
4	15	Liam	Pakenham
5	23	Alby	Hodkinson
JR Sportsman 2
1	629	Thomas	Mcgale
2	20	Aj	Peeters
3	91	Jackson	Veenstra
4	31	Brody	Davidson
5	99	Bryce	Massey
JR Restricted/Stock Lite
1	1	Coleson	Gregory
2	89	Kolby	Ellis
3	22	Nolan	Chatten
4	99	Jonelle	Burke
5	14	Holden	Paul
6	9	Cooper	McKeown
7	70	Finley	Mahoney
8	18	Elliot	Stacey

Thursday, June 1st
Kart #	Name
Box Stock 1
1	797	Luke	Cuthbertson
2	29	Deegan	Sudsbury
3	37	Ella	Wannamaker
4	11	Bentley	Fulton
5	3	Luke	Ramsay
6	68	Gunner	Ellis
7	39	Lucas	Wannamaker
8	5	Liam	Baldwin
Box Stock 2
1	29	Lily	Walters
2	92	Race	Turner
3	77	Max	Van Dyk
Rookie 1
1	87	Weston	Mitts
2	15	Charlotte	de Wal
3	48	Knoxin	Wells
4

2023 Karting REGISTRATION

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