Magic Valley Speedway            
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Speedway Season

DRIVER MEMBERSHIP FORM

The acceptance of this application and fee by any Magic Valley Speedway Nascar Official and the depositing of accompanying funds by any Magic Valley Speedway Nascar Official, does not constitute approval of this application. Applications may only be approved by Magic Valley Speedway headquarters. By signing this Magic Valley Speedway membership application, you are signing for a track membership only. You will also be required to be a Nascar member and carefully read and sign a consent and release of liability form, before being permitted to enter any restricted area. By signing this membership application, you are assuming all responsibility for money received as a result of your activities including, without eliminating, income tax, FICA, workmen's compensation, and withholding taxes. You are agreeing that you are not an employee, servant or agent of Magic Valley Speedway. By signing this membership application, you agree to abide by all rules and regulations of Magic Valley Speedway now published or hereinafter modified. By signing this membership agreement, you give consent to the use of his/her name, pictures of him/herself and his/her car for publicity, advertising and endorsements both before and after the events, and relinquished any rights to photos taken in connection with events and consents to this agreement, including any agrees to accept the decision rendered by this process. The undersign has read and voluntarily signs the Magic Valley Speedway membership application and further agrees that no oral representations, statements or endorsements apart from the foregoing written agreement have been made in exchange for admittance to restricted areas. By signing the release waiver, you have waived legal rights to sue for injuries, including but not limited to death, and acknowledge the potentially dangerous nature of activities in and adjacent to restricted areas. I have read and fully understand this agreement. I agree to abide by all terms of this agreement and the rules of Magic Valley Speedway.

Print Name: _______________________________________Date:______________________

Signature:___ ______________________________________ Date:_______________________

Your Car Number from 2018 is yours until February 4th, 2019

Numbers are open to anyone on February 5th, 2019

Modifieds $150          Midgets & Super Stocks $125          Streets $100       

Mini Stocks $75      Jr Late Models - Hornets - Deckers -Jr Stingers $50 

Car Number 1___________________Car Number 2___________________

Drivers Name (Print): _________________________________________ DOB: ____________________________

Address: _______________________________________________________________________________________

Phone Number: _________________________ SS#: _____________________________ Current Age: _________