Welcome to the official Website of Kasson Speedway  Racing every Sunday night at 6:30pm    Featuring  Open Modifieds   Superstocks   B-Mods   Streetstocks  Pure Stocks  and   Hornets   Special Events and More! ! !

NAME                                                                                                                                                                                                   Last                                                                                            First                                                                Initial 

ADDRESS                                                                                                                                                                                       

CITY_______________________________ STATE_________________ ZIP____________

SOCIAL SECURITY #  _______________________        DATE OF BIRTH_____________________

CLASS                                            CAR #__________        Colors                                                                        

Primary  PH. #__    ______   ________ 2nd PHONE_______________   e-mail______             _____________

SPOUSES NAME___________________   Children                                                                                                

CAR OWNER________________________________    1099 to driver?    Yes  /  No          JACKET SIZE_________

If No - payee                                                                        PAYEE SOCIAL SECURITY #                                               

PAYEE ADDRESS  ______                             ________________ CITY                    ________ STATE _______  ZIP_____________

SPONSORS:______________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
 

CONTRACT:  I hereby certify that I am an independent contractor.  I Assume all responsibility for any and all "prize monies" received as a result of my activities at Kasson Speedway, including any resulting income taxes, FICA, and workman’s compensation.  In addition I assume all responsibilities for carrying suitable insurance in excess of the track policy.  I certify that I am not an employee, servant or agent of the Speedway in any form or inference.

CONSIDERATION:  In consideration of acceptance by the Speedway of this application the undersigned agrees to abide by all the rules and regulation of the Speedway and to conduct themselves and all crew associated with,  all published rules until/or hereafter modified.  The undersigned further recognizes his/her obligation to the public and to the Speedway, to participate in all events scheduled for the day in exchange for posted prize.

BENEFITS:   Speedway agrees to post and pay a prize purse in exchange for participation in the event.  Participation will include, and will be entitled to the benefits of the Competitor Accident Insurance Policy  procured by the Speedway for accidental death or injuries 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 at any speedway event, provided proper notification of such occurrence is filed with the Speedway within 24 hours of the incident.

BREACH & DAMAGE:  In the event the undersigned breaches this agreement, or creates a negative image within his/her conduct associated with the Speedway event, he/she shall be liable for actual and liquidated damages sustained by the Speedway as a direct or indirect result of such breach and/or conduct.

ADVERTISING RELEASE:  The undersigned consents to the use of his name and/or pictures of him(her)self  their car, equipment, or any likeness of such for publicity, advertising and/or endorsements, both before, during and after such events held by the Speedway.  The undersigned further agrees to relinquished any rights to photos taken in connection with events, and consents to the publication or sale of such photos by the Speedway as sole property of Kasson Speedway.  This includes any video, film or delayed transmission of images.

ARBITRATION:  Any dispute, controversy or claim involving the undersigned, shall be settled in accordance with existing and/or amended rules and regulation of the Speedway, arbitrated by a panel.  The undersigned agrees to accept the decision rendered by such process.