Whiplash Racing

Please remember all racers need a 2010 Racing License and a 2010 Notarized Annual Release Form, you can download the form here.

This form allows you to sign up for a race electronically. After this form has been filled out you will be taken to the payment page where we can process your payment. This form needs to be filled out and submitted for each race and for each racer. Please note the entry fees for registering online are $5 more per entry to cover the online registration costs.

ONLINE REGISTRATION HAS TO BE PAID IN FULL TO BE CONSIDERED PRE-REGISTERED AND TO GET THE BONUS POINTS!

PLEASE DO NOT REGISTER ONLINE AND SKIP PAYPAL IT MAKES A MESS OF THE PAPERWORK AND ADDS A TON OF TIME RESEARCHING THE PROBLEM WHEN WE HAVE DOUBLE THE ENTRY FORMS

If you do not see your desired event listed that is because we are no longer accepting online entries for that event. You will need to register in person at the race. There are NO REFUNDS for entry fees. In some circumstances we offer rollovers to the next race with a $10 rollover fee.

All 12 of the fields below are required in order to submit your registration. Your membership number is located on your racing license, if you do not know your member number please call the office.

Online registration must be paid in full via paypal in order to receive the 5 pre registration points.

Event Type:
Entry Type:		Engine Size:
Race Class		Engine Type:
Event:		Vehicle Number:
Racer's Name:		Racer's Age
2010 Membership Number: Your 2009 Member number is no longer valid.		Racer's Email:

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The UNDERSIGNED hereby releases, waives, discharges and covenants not to sue the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, vehicle owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultant and others who give recommendations, directions, or instructions or engage in risk
evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents, and employees, all for the purposes herein referred to as ?releases,? from all LIABILITY TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE AND ANY CLAIM OR DEMANDS THEREFOR ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASES OR OTHERWISE.
THE UNDERSIGNED HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS the Releases and each of them from any loss, liability, damage or cost they may incur arising out of or related to the EVENT(S) whether caused
by the negligence or otherwise. THE UNDERSIGNED hereby assumes full responsibility for any risk of bodily injury, death or property damage arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASES or otherwise.

I have read this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, fully understand its terms, understand that I have given up substantial rights by signing it and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me and extend my signature to be a complete and nconditional release of all liability to the greatest extent allowed by law. (If participant it under age 21, this form must be signed by his Parent of Legal Guardian.)

I Agree to the Terms Above

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Whiplash Racing 2939 E. Grovers Rd Phoenix, AZ 85032 (602) 971-3730
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