Contingency Form

Event Information

Race Series *

Race Date *

Race Location *

Race Vehicle Type *ATVUTV/SxS

Class *

Class Finish *

Front Tire Size & Model *

Same size and model on the rear? *YesNo

Rear Tire Size & Model *

Rider Information

First Name *

Last Name *

Phone *

Email Address *

Street Address *

City *

State *

ZIP / Postal Code *

Is Rider 15 years or older? *YesNo

Name of Guardian

First Name *

Last Name *

Is the guardian's address the same as above? *YesNo

Guardian's Street Address *

City *

State *

ZIP / Postal Code *

Rider Release

In applying to qualify and compete for contingency prizes during the 2023 racing season I hereby acknowledge that I am at least 15 years of age (If rider is younger than 15, a parent or legal guardian must sign below) and that: I am fully aware of the hazards and dangers involved in racing and hereby assume all risks involved in my participation of such events. I acknowledge that OBOR Tires - USA and its employees and agents have no control over the planning, organizing and/or managing of such events. I agree to hold harmless and indemnify OBOR Tires - USA, its employees and agents from all personal injuries and/or damages caused by my participation in such events. I hereby grant OBOR Tires - USA and any person authorized by the company to use my name, accomplishments, photographic images and statements in any manner and without time limitation for the purposes of promoting OBOR Tires - USA and its products.

I have read and understand the foregoing release *YesNo

File Uploads

W9 (required for payment) *

No file chosen

Would you like to send race results by url or screenshot upload? *Race Results URLScreenshot

Race Results URL *

Screenshot Upload

No file chosen

Picture of vehicle with OBOR tires, decals, and podium clearly visible. (example below) *

No file chosen

TYPE OF IMAGE WE'RE LOOKING FOR

1) Visible OBOR Hat. 2) Race Identifier. 3) Clear View of OBOR tires. 4) Visible OBOR Decals

Event Information

Rider Information

Name of Guardian

File Uploads

[email protected]

(470) 282-3676