1st *$1000.00
6th: $120.00
* First place payout includes a Logic Automation Services $250.00 Contingency bonus to be paid out weekly though out the season. To be eligible for the bonus teams must enter online in advance, and have participated in 100% of the season events to date in 2019.
Truck Number: Select your truck number. 1ne Lucas Leone 2vt Duane Noll 2ma Adam Giacomozzi 3 Andy Lindeman 8 Kendall Metcalf 8 Tom Metcalf 10 Andrew Morin 15jr Gerard Giordano Jr. 19 Dylan Cabral 21 Todd Taylor 23 Randy Burr 24 Jason Ferreira 28 Rick Ashlaw 28ma Junior Tercetti 29 Joshua Stringer 29m Joshua Hedges 29ny Dangerous Racing 32 David Simpson 32x Randall Burr 35 Brian Zimowski 38 Ed Gannon 47 Shayne Young 47p Bill Bernard 54 Chris Ivory 68 Jeff Karns 71 Jacob Perry 72 Glen Noll 80 Mike Cavallaro 81 Tyler Chapman 81ny Corey Coates 82 Robert Murphy 87 Jim Thompson 89 Pete Pollard 90 Allen Coates 90jr Allen Coates 94 Tony Naglieri 97 Dave Koenig 97X Dangerous Racing Make and Model:
Owner: Email: Phone Number: Street Address: City: State: Zip: Check Box: I understand that the registered owner and driver remain responsible for all team members associated with this entry. Team owners and/or drivers are responsible for paying team member fines.
Funds will be paid to : Team owner . Driver Crew Chief: Email: Phone Number:
Please select one person to act officially on behalf of this entry at the event. Owner Driver Crew Chief Transponder Number : If renting please enter "Renting" in field.
Radio Frequency: (Required)
_______________________________________________________________________
In consideration of this event, the acceptance of this entry by WTC, its associated companies including the Exit Realty ProTruck Challenge, New England Truck Series and entities, the undersigned hereby agrees that WTC shall have the exclusive right to use, without further compensation to the undersigned, their name(s), picture(s), likeness(es), picture(s) of race car(s), and performance(s), or any part thereof, for any and all purposes and in any manner in connection with promoting, advertising, recording, broadcasting, producing and reproducing or exploiting or benefiting in any way from this event or any other events sanctioned by WTC, whether before, during or after such event(s), including but not limited to photography, television and radio broadcasts, film productions and print media. The undersigned understands and agrees that this exclusive right shall be freely assignable by WTC.
In addition, the undersigned agrees to be bound by any and all decisions made by WTC / Exit Realty Pro Truck Challenge, which decisions shall be final and without recourse or appeal. In the event that this application is terminated, it shall be without restitution of any part of the fee paid in connection with this entry and further, the undersigned waive any and all rights or claims to any bonus money due resulting from my/our racing efforts with WTC or the Exit Realty Pro Truck Challenge prior to termination. The undersigned further waives any and all rights for themselves, their agents or assigns, to institute any action, or actions, suits or proceedings, whether at law, in equity, or before any administrative agency or board in any jurisdiction, whether under the laws of the United States of America or Canada, or any political subdivision of either Country against WTC, Exit Realty or Exit Realty Pro Truck Challenge for any act or action taken or not taken, or any refusal to act on the part of WTC or the Exit Realty Pro Truck Challenge or any of its employees, agents or servants, or any persons for whose activities WTC and the Exit Realty Pro Truck Challenge may be responsible, arising out of the promoting, sanctioning, sponsoring, operating, regulating, scoring, rule making, decision making of any event.
In consideration of acceptance of this entry by WTC and Exit Realty Pro Truck Challenge, the undersigned, for themselves and their heirs, successors and assigns, do hereby release WTC and the Exit Realty Pro Truck Challenge, its associated companies and entities and their officers, directors, agents, and employees from any and all, and all manner of action and actions, cause and causes of actions, suits, damages, and claims that the undersigned or their heirs, successors, and assigns may have now, or at any time in the future may have, arising in any manner out of WTC and Exit Realty Pro Truck Challenge-sanctioned events, excepting only WTC’s obligation to pay purses, bonuses and awards as set forth in the individual official entry blanks for WTC and Exit Realty Pro Truck Challenge sanctioned events. The undersigned understands and agrees that this release constitutes a waiver and release of any and all claims for personal injury, breach of contract, and any other loss or damage except as previously provided herein.
Please note: Each car must have a Driver, Owner, Crew Chief and Spotter properly registered with WTC. Spotters are for safety purposes. Spotters that engage in blocking will be suspended immediately.
All race trucks are subject to chassis dyno testing. By entering this event you are agreeing that the entry listed above may be transported to the chassis dyno and tested by and/or under the direction of the Pro Truck Challenge competition director . After completion print this form for your own copy and then hit "Entry" for this event. Acceptance to this event is at the sole discretion of the event organizers. The entry fee will be deducted from winnings I am the owner of this entry and agree to all of the terms listed above.