2007 Year Pit Pass Form ( Non Transferable)
Number __________ Paid ____________
A year pit pass entitles you to enter hot pits at all events
Must be 18 years old or older
(if a minor needs to have completed the minor release by
Parents or Guardian)
Must be part of a pit crew for NSRA drivers for the day
Open to men and women
One form per person
A year pit pass begins August 17, 2007, ends September 30,
2007
A year pit pass includes:
NSRA year pit pass
card NSRA
Hot Pits
NAME OF Pit Crew: ( Please
Print)_____________________________________________________
STREET ADDRESS:
__________________________________________________________________
CITY _________________________ State______
Zip Code ______________
Phone # ______________________ E-mail
Address _______________________
Driver's Pit Crew Number: _________
NOTICE: Season paddock area passes at $40 per person (18 years or
older).
Number required: _______
(Each pit personnel must have their own paddock pass, does NOT include
general admission)
Year Pit Pass Release:
I _____________________________________ hereby elect to use said course of the day as per entered at my own risk, and hereby release the sponsor, the NSRA, together with their heirs, members, assigns, officers, representatives, agent or employees from all liability from injury - including death - or property damage received or reputation that may be received from al claims growing out of or resulting from entry at this entered NSRA sanctioned event.
Signature required: _________________________________________ Date: _____________
In case of emergency please contact the following person:
NAME ______________________________________________ RELATIONSHIP_________________
ADDRESS ___________________________________________ PHONE # _____________________
