2007
SOUTHERN ONTARIO SPRINTS Auto Racing Club
(With release
of liability provisions)
![]()
![]()
Please Print:
![]()
![]()
NAME: Last: First: Middle
Initial:
Address: Number & Street:
![]()
City/Town: Prov./State:
![]()
Postal/Zip Code: Cell
Phone:( )
Home
Phone: ( ) Work Phone: ( )
![]()
![]()
Email:
Birthday:M- D-
![]()
![]()
![]()
Emergency
Contact: Phone: ( )
(not
usually at races)
Blood
Type: Allergies:
![]()
![]()
Car
Info:
![]()
![]()
Car No: Chassis
Make: Colours:
MAJOR SPONSORS:
![]()
![]()
![]()
Type of Membership Applied For: Driver or Driver/Owner: Associate :
PLEASE READ THE
FOLLOWING CAREFULLY BEFORE SIGNING:
1.
Release waive, discharge and
promise not to sue the S.O.S., any of its members, and any of its sponsors, any
of its officials, or car owners, drivers, pit crews for personal injury or
property damage which I receive or sustain during 2007 arising out of an S.O.S.
event, whether my loss is caused by negligence of the S.O.S., its officers or
members. This does not waive rights of suit in the event that an action is
termed criminal within the jurisdiction of applicable law.
2.
Agree to indemnify and hold
harmless the S.O.S., its officials and members for any loss, liability, damage
or cost which may incur due to my presence at a S.O.S. event, whether I am
competing, officiating or observing a S.O.S. event.
![]()
Applicant’s
Signature: Date:
![]()
![]()
FEE PAID: APPROVED BY:
MEMBERSHIP FEES: DRIVER or
DRIVER/OWNER: $ 85.00 ASSOCIATE MEMBER: $40