Pa Junior Waiver Form - Speed Raceway (Page 2 of 2) in pdf

Pa Junior Waiver Form - Speed Raceway Page 2

3. WHO IS BOUND BY THIS WAIVER AND RELEASE?

You are bound by this document. Anyone who has or can obtain your rights is also bound by this document,

such as your family, relatives, guardians, executors or anyone responsible for you or your estate.

As used in this document, Speed Raceway, LLC includes Speed Raceway, LLC, LLC and Speed Raceway,

LLC WG, LP d/b/a Speed Raceway, LLC together with the people who work for and are associated with Speed

Raceway, LLC, such as its owners, managers, employees, officers, directors, stock holders, agents, volunteers,

sponsors, vendors and exhibiters.

The rules of safe conduct for all racers are as follows:

a. Helmets must be worn at all times on the track;

b. You must be at the age of 6 or older and at least 48 inches tall to race the junior karts;

c. You must be at the age of 12 or older and at least 56 inches tall to race the adult karts;

d. You must attend a safety briefing on safety rules and regulations before beginning a race;

e. You must obey all flags, signs, orders and instructions from track attendants and officials;

f. Do not run into the barriers or any other objects on the track;

g. You must wear closed toe shoes while riding or racing in a go kart.

h. No bumping of karts allowed at any time;

No smoking at any time in the facility;

Long hair must be pulled back in a ponytail in order to avoid severe personal injury;

k. Know the limits of your own ability to drive go karts and operate your kart within the limits of your ability

4. DO YOU AGREE TO ABIDE BY THE RULES OF SAFE CONDUCT? YES_________NO_________

_______________________________

__________________

_______________________________

Your Signature

Date

Emergency Contact/Phone #

The Signature of Your Parent or Guardian: _________________________________

Date: ____________________________Phone: ____________________________

Parent or legal guardian's Driver's license: __________________________________

Your Address: _____________________________

_____________________________

06/3118996.v1

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Pa Junior Waiver Form - Speed Raceway Page 2