2008 Membership Application
Competitors License ($25.00)
 Race Team Membership($50.00)
 
$25.00 COMPETITORS LICENSE
MEMBERSHIP INFORMATION
(Drivers Only)
                                                                                                                                                                     
Full Name ______________________________________ Nickname ____________
Address _____________________________________________________________
City ___________________________________ State _____ Zip Code ___________
Social Security # _____________________ Email Address ____________________
Driver's License Number ________________________ Birth date ________________
Home Phone Number ________________ Work Phone Number ________________
Personal Insurance Company ___________________ Policy Number ____________
In Case of Emergency, Notify ____________________________________________
Relationship _________________________ Phone Number ___________________
 
$50.00 RACE TEAM INFORMATION
(Car Number and Race Team Membership)
Car Number ____ Year, Make & Model of Race Car _________________________                                       
Sponsors ___________________________________________________________                                                       
____________________________________________________________________
Accomplishments _____________________________________________________
____________________________________________________________________
Race Team Members__________________________________________________
____________________________________________________________________
____________________________________________________________________
 
 
MEMBERSHIP AGREEMENT
CONTRACT: I am an independent contractor assuming all responsibility for money received as result of my racing activities including income tax, FICA, workers compensation and withholding taxes. I am not an employee, servant or agent of NWOSS.

COMPLIANCE: The undersigned agrees to abide by all rules and regulations of the NWOSS now published or herein after modified. The undersigned acknowledges having read, understood and voluntarily understands this agreement and the rules of the NWOSS and agrees to abide by the current rules and regulations of NWOSS now published and hereinafter modified. In consideration of the acceptance by the NWOSS of this agreement, the undersigned recognizes his/her acceptance to all NWOSS officials' decisions, penalties and suspensions with the possibility of the membership being revoked at any time when this agreement has been breached. The undersigned understands that stock car racing can be a dangerous sport and the pit area is restricted to those persons involved with the race car. The undersigned accepts full responsibility for injury to themselves and race team and releases NWOSS from all liability resulting from any injury.

ADVERTISING RELEASE: The undersigned consents to the use of his/her name, pictures or video of himself/herself and their car for publicity, advertising and endorsements both before and after the events, and relinquishes any rights to photos or footage taken in connection with events and consents to the publication or sale of such photos as the NWOSS  so desires.

ARBITRATION: Any controversy or claim arising out of or relating to this agreement, including any alleged breach, shall be settled in accordance with the rules and regulations of NWOSS and the undersigned agrees to accept the decision rendered by this process.

I HAVE READ AND FULLY UNDERSTAND THIS AGREEMENT. I AGREE TO ABIDE BY ALL TERMS OF THIS AGREEMENT AND THE REQUIREMENTS OF ALL THE RULES SET FORTH BY NW OUTLAW STREET STOCKS.
X Your Signature _____________________________________ Date _________
 
Print this page and fill out the appropriate information. Then enclose the proper fees and return this entry form to:
NW OUTLAW STREET STOCKS

1313 e 25th
Tacoma wa 98421