Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Address Line 1CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodePhone *Email *Check All Event You're Attending *Friday, April 2nd - 7:30 PMSaturday, April 3rd - 1:00 PMSaturday, April 3rd - 7:30 PMTruck Name *Truck Brand *Truck Number *Credit Card Number *Expiry Month and Year *FirstLastCVV *Release & Indemnity Agreement: *PLEASE READ CAREFULLY: I hereby give up all my rights to sue or make any claim for damages due to negligence or any other reason whatsoever against Cycle City Promotions , Tod or Karen Hammock, sponsors, and/or all other person, participants, and/or organizations conducting or connected with this event for any loss, injury to property or person I may suffer, including crippling injury or death, while participating in this event or while upon event premises. I know the risks of danger to myself and my property while preparing for and participating in the event and while on event premises and, relying upon my own judgement and ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with this event for damages incurred as a result of my negligence. I have also inspected the track, facility, and all areas connected to this event and deem them safe for myself, my minor child, and my family.Submit