Laurens County Speedway

Name:_____________________________________________________________

ATV/Golf Cart Year, Make and Model, Registration Number_______________________________________________________________________________________________________________________________

In consideration of being permitted to use an ATV/Golf Cart for race related activity, each of the undersigned, for himself; his/her personal representatives, heirs and next of kin:

• Hereby understand racetrack insurance will not cover ATV/Golf Cart incidents and I will carry my own insurance.
• Hereby agrees that this registration can be revoked at any time due to misconduct.
• Hereby agrees that all ATV’s will be used for racetrack related activity only.
• Hereby understands ATV’s are not allowed on the racing surface at any time.
• Hereby agrees no one under 16 years of age will operate ATV/Golf Cart.

I have read the registration, fully understand it’s terms and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me.

Signed:_____________________________________________  Date:__________