Go-Kart Racing Safety Waiver Form
Please complete this form to register for a go-kart racing session and acknowledge the activity safety waiver.
Participant Information
Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
example@example.com
Racing Session Details
Racing Date and Time
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Hour Minutes
AM
PM
AM/PM Option
Racing Experience Level
*
First time
Occasional
Experienced
Other
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone
*
Please enter a valid phone number.
Format: (000) 000-0000.
Safety Waiver Acceptance
Participant Signature
*
Submit
Submit
Should be Empty: