Entry Form

D.R.E.A Racing

2024 Powder Puff Hot Pit Support Form
Driver of Record Name

First NameLast Name
Hot Pit Support Team Member Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Date Of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.
Release Of Liability

All Persons in the Hot Pits are required to read and sign the following declaration. In consideration of the acceptance of this entry, or of my being permitted to take part in this event, I, for myself, my heirs, executors, administrators, successors, and assigns agree to save harmless indemnified Desert Racing Enthusiasts Association, Inc., its individual members and their respective agents, officers, officials, servants, sponsors and representatives, the owner, curators, lessors, agencies, or manager of a land upon demands in respect to death, injury, loss or damage to my person or property, howsoever caused, arising out of or the connection with my entry or participation in this event, and not withstanding that the same may have contributed to, occasioned by, or directly caused by the negligence of the said bodies, their agents, officials, servants, or representatives. I declare that I possess the standard or competence necessary, I understand that being in the pits I accept responsibility of my own safety at this event and in the Hot Pits and release D.R.E.A. Racing of any and all liabilities.
Name of Hot Pit Support Team Member - Electronic Signature Consent

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I agree and understand that by signing the Electronic Signature Consent, RELEASE OF LIABILITY, that all electronic signatures are the legal equivalent of my manual/handwritten signature and I consent to be legally bound to this agreement.
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D.R.E.A Racing