Summer Shootout - Official Entry Application

The Jack in the Box Summer Shootout 2014 schedule is as follows.

  • Monday, June 9 - Round #1
  • Tuesday, June 10 - Round #2
  • Tuesday, June 17 - Round #3
  • Tuesday, June 24 - Round #4
  • Tuesday, July 1 - Round #5
  • Tuesday, July 8 - Round #6
  • Tuesday, July 16 - Round #7
  • Tuesday, July 22 - Round #8
  • Monday, July 28 - Round #9
  • Tuesday, July 29 - Round #10

DRIVER REGISTRATION RULES:

  • All Drivers MUST have a valid INEX license
  • Only the Registered Driver on the entry will be allowed to participate in this event
  • Pit Passes can be purchased at the Pit Gate for Driver and Crew Members
  • No Refunds

There will be no car registration fee for the 2014 Jack in the Box Summer Shootout series.

Driver Information

First Name
Last Name
Address
City
State
Zip
Birthdate
Phone
Email
2014 INEX License #
RACEceiver Transponder ID #
Emergency Contact Name
Emergency Contact Phone #
Emergency Contact Relationship
Known Medical Conditions
Name of Person Who Will Receive Monetary Winnings

Vehicle Information

Car #
Car # (2nd Choice)
Car # (3rd Choice)
Car # (4th Choice)
Car Make
Car Model
Car Year
Car Colors
Sponsors (Max Three)
Hauler Length

Divisions

Please indicate which race you will compete in on the registration form.
Division
Waiver
The rules and/or regulations set forth herein are designed to provide for the orderly conduct of racing events and to establish minimum acceptable requirements for such events. These rules shall govern the condition of all events, and by participating in these events, all participants are deemed to have complied with these rules. NO EXPRESSED OR IMPLIED WARRANTY OF SAFETY SHALL RESULT FROM PUBLICATIONS OF OR COMPLIANCE WITH THESE RULES AND/OR REGULATIONS. They are intended as a guide for the conduct of the sport and are in no way a guarantee against injury or death to a participant, spectator, or official.

The Race Director shall be empowered to permit reasonable and appropriate deviation from any of the specifications herein or impose any further restrictions that in his opinion do not alter the minimum acceptable requirements. NO EXPRESSED OR IMPLIED WARRANTY OF SAFETY SHALL RESULT FROM SUCH ALTERATION OF SPECIFICATIONS. Any interpretation or deviation of these rules is left to the discretion of the officials. Their decision is final.

In consideration of CMS/USLCI's approval of this entry application and for the opportunity to participate in the event, each of the undersigned agrees as follows:
1. ACKNOWLEDGEMENT AND AGREEMENT TO ABIDE BY RULES: I acknowledge that I have read and understand all terms and provisions in the Official Entry Application, and in all Special Rules published by CMS/USLCI for this Event, and that I will abide by all such terms and provisions, as they may be amended from time to time, and by all decisions by CMS/USLCI or its Officials interpreting and applying them.
2. ADVERTISING AND PROMOTION RELEASE. CMS/USLCI, its duly authorized agents and assigns, may use my name, likeness and performance, including photographs, images and sounds of me and/or any vehicle(s) with respect to which I compete in CMS/USLCI-promoted events, in any way, medium or material (including but not limited to broadcasts by and through television, cable television, radio, pay-per-view, closed circuit television, satellite signal, digital signal, film productions, audiotape productions, transmissions over the internet, public and private online services authorized by CMS/USLCI, and the like) for promoting, advertising, or reporting any CMS/USLCI-promoted event before, during and after such event, and I do hereby relinquish to CMS/USLCI all rights thereto for such purposes: provided, however, that, I shall retain the exclusive use of my name, picture and likeness in connection with product endorsements and the sale of products, services, concessions and merchandise.
3. PERSONAL INJURY AND PROPERTY DAMAGE RELEASE. I hereby release and waive any and all claims pursuant to the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT as posted and signed at Registration.
4. ENTRANT'S "GOOD FAITH TO THE PUBLIC PLEDGE." In recognition of the support of the racing fans, and the effort and monies expended by the sponsors and CMS/USLCI in connection with the Event, I agree to use my best efforts to compete in the Event, including related practice and qualifying activity, and I will not withdraw from competition without the consent of CMS/USLCI. If the Driver for any reason is unable to compete, the Car Owner will use its best efforts to identify and use a substitute driver in order to compete.

I acknowledge that I have fully read and understand the rules and regulations governing the mechanical and technical requirements for the event. I assume responsibility for the legality and safety of my car and accept all penalties issued by the Race Director and/or officials. I acknowledge that I am responsible for the actions of my Car Owner, Crew Chief and Pit Crew and that they must abide by all Charlotte Motor Speedway and U.S. Legend Cars International's rules, regulations and decisions as well as the stipulations announced by the Race Director and/or officials. I acknowledge that my event finishing position, point standing and prize money may be subject to penalty for the actions of myself, my Car Owner, Crew Chief and Pit Crew.

Hard Card

Drivers and crew/family members may purchase a hard card for the 2014 Jack in the Box Summer Shootout racing season. If you would like to obtain one, please complete the hard card application form and send payment along with the completed application to the following address:

Charlotte Motor Speedway
Attn: Finance - SSO Hard Card
P.O. Box 600
Concord, NC 28026



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