REGISTRATION FORM - Brighton Speedway

2023 DRIVER 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, A YEARLY WAIVER COMPLETED AND FEES PAID IN FULL.

***** PAYMENTS TO BE MADE UPON COMPLETING THIS FORM *****

$25 Registration Fee

$75.00 Pit Spot – Unpaved

$100.00 Pit Spot – Paved *** Only Available to those who had one in 2022, contact the Speedway Office. **Drivers have until March 1st to Register and keep their number and Pit Spot. After that, Pit Spots will be open to any on the wait list .*Drivers must have paid their registration fee in order to be eligible to secure a Pit Spot.*

Don’t forget! All Late Model, Canadian Modified, Pro Stock and Comp 4 / Mini Stock Drivers MUST have a MyLaps Transponder and RACEceiver. These are available for purchase from the Speedway Office.

For all other enquiries please contact the Speedway Office at 613-475-1102 or by email at brightonspeedwayinfo@gmail.com

Driver Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

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

Birth Date(Required)

Did you have a Pit Spot in 2022(Required)

SELECT YOUR DIVISION(Required)

Car Number(Required)

CAR MAKE(Required)

CHASSIS(Required)

TS/MS/C4/ST - Model; Metric or Camaro; LM - Manufacturer

CHASSIS MODEL YEAR(Required)

ENGINE(Required)

ENGINE (CU IN / CC)(Required)

CRATE MOTOR?(Required)

SPONSORS(Required)

List your sponsors here in order of importance

CAPTCHA

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.

"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 DRIVER REGISTRATION

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