Policy and Notes. Competition Note!!!!! It is important to remember that the Unlimited record. for the BBORR is over 172 MPH!

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1 Policy and Notes Please read the following carefully. If you have any questions or need clarification, please do not hesitate to contact Crystal Lopez at or Crystal and Dustin are on standby to assist with Registration questions, Rule clarifications and for Rules and Technical questions. The staff will do their best to answer all questions as quickly as possible; patience will be appreciated. Competition Note!!!!! It is important to remember that the Unlimited record for the BBORR is over 172 MPH! The BBORR is more of a technical driver's challenge than a straight road course like the Nevada races. There are 59 turns in the last 50 miles leading to Sanderson. They are composed of many elevation changes and are made up of all the types of turns to be found on any road course, anywhere. These turns make it a real challenge to meet your average class speed - in any Division. Please keep this in mind when you decide on your entry Division and Class. Refunds and Transfers A Memberships are non-refundable and non-transferable. B All cancellations and requests for refund must be made in writing or to: Big Bend Open Road Race, BBORR, PO Box 416, Fort Stockton, Texas 79735, or by cvb@fortstockton.org or, (432) C Entries canceled at least 30 days prior to the event are eligible for a refund. Entries will be refunded minus the membership fees and a 10% handling fee. D E Entries canceled at least 14 days prior to the event are eligible for a refund of 50% of their paid entry fees minus the membership fee and a 10% handling fee. No refund option is available to entries canceled within 13 days of the event. A. All fees (except un-expired membership fees) will be forfeited for entries canceled within 13 days of the event. B. Event 'no-shows' forfeit all fees (except any un-expired membership fees). C. NO EXCEPTIONS IMPORTANT: By signing the entry application and thereby entering the event, you are certifying your understanding and acceptance of these terms. It is imperative that if you do not understand one or any of the above stated policies and/or need clarification, that you contact the Big Bend Open Road Race staff. BBORR will make every effort to insure that the Event will be started and completed in a timely manner. There may be occasions where Acts of God or Government Intervention may prevent the start and/or completion of the Event. If such an occasion were to arise, BBORR cannot issue refunds or rain checks.

2 Entry Application - Form A MUST BE COMPLETE BBORR PO Box 416 Fort Stockton, TX FAX: cvb@fortstockton.org The BBORR is more of a technical driver's challenge than a straight road course like the Nevada races. There are 59 turns in the last 50 miles leading to Sanderson. They are composed of many elevation changes and are made up of all the types of turns to be found on any road course, anywhere. These turns make it a real challenge to meet your average class speed - in any Division. Please keep this in mind when you decide on your entry Division and Class. Driver: Address: Entrant(s) Information Age: City: State: Zip: Home Phone: Work Phone: Address: (Must enter valid address to receive electronic entry confirmation) T-Shirt Size: Please list any special meal needs: Vegetarian: Vegan: Other: Food allergies: Co-Driver/Navigator: Age: Address: City: State: Zip: Home Phone: Work Phone: Address: T-Shirt Size: Please list any special meal needs: Vegetarian: Vegan: Other: Food allergies: Navigator Drives Return Leg as Driver: Read the Rules & Regulations

3 Driver # 1 Competition History: Competition Certification Date & Organization: (Must be accompanied by a photocopy) State Driver s License (Photocopy please) REQUIRED: Valid automobile insurance (Photocopy please) REQUIRED: Rookie Year: Speed: Driver # 2 Competition History: Competition Certification Date & Organization: (Must be accompanied by a photocopy) State Driver s License (Photocopy please) REQUIRED: Rookie Year: Speed: Car Number Choice 1 st : 2 nd : 3 rd : Lifetime # may be purchased (see (01 thru 180): Form B) Installed Safety Racing Harness Roll Bar Roll Cage Equipment Fuel Cell Fire Extinguisher Fire System Helmet & Date SA I certify that the enclosed and attached information above is correct and understand that any misrepresentation is grounds for disqualification from the event and forfeiture of my entry fee. I have read and understand the rules and regulations for this event. I understand that safety of my person and my vehicle is my responsibility and I also certify that I have reviewed and accept the terms of the Big Bend Open Road Race refund/transfer policy as outlined in this entry package. Driver: Co-Driver/ Navigator:

4 Entry Application Form B Division* Class** (check speed choice) Price Number Total Street Rod (SR) Touring (T) Grand Touring (GT) Grand Sport (GS) Super Sport (SS) Unlimited (UNL) Unlimited Navigator/Co-Driver (See Rule 1.7 Age Regulations) Includes 1 banquet ticket Licensed Driver s Practice Rookie Orientation & Rookie Qualifying (Incl. 2 Drivers 1 Car) Lifetime Car Number (02 thru 180) Membership Dues Individual Required Membership Dues Family (see above) Speed Certificate 8 ½ x 11 Certificate Commemorative Race Polo (Dri-wick Fabric Mens sizing only) Size: Name (optional $15 charge): Size: Name (optional $15 charge): BBORR 2018 Patch Official Race Course DVD (Highways 285 & 90) N/C

5 Award Banquet, Ft. Stockton Entry Please list numbers of additional tickets needed includes 1 ticket ea Team Challenge Discount Team Name: (25.00) Please check boxes for Entry Requirements Safety Equipment determines Division Eligibility; Class = Target Speed see Part II of rulebook **Please check your class choice Total: Total Due: Method of Payment I ve enclosed a Check/Money Order payable to: Big Bend Open Road Race Charge to my: Visa Mastercard Amex & Discover not accepted Credit Card #: Cardholders Name: Expiration date: Signature: Vehicle Information Year: Make: Model: Body Style: Color: Stock: Stock Modified: Purpose Built Race Car: Year Built: Engine size: Cc/ci Cyl: (Please submit a color photo or digital image with entry) Super Sport and Unlimited drivers must have conversation with Chief of Tech and Race Director. Date of Conversation: Method: Telephone or in person Chief of Tech: Race Director:

6 Driver's Medical Information Form Must Be Completed By All Drivers Driver: DOB: Address: City: State: Zip: In the event of an accident, the following information is important. Please complete all sections. HEALTH HISTORY Yes No Yes No Yes No Asthma Nervous stomach Head or spinal injuries Tuberculosis Diabetes Extensive confinement Kidney disease Psychiatric disorder Cardiovascular disease Any other nervous disorder If YES to any of the above, explain: Seizures, fits, convulsions, or fainting Permanent defect from illness/disease Sex: Height: Weight: Date of birth: Blood type: Drug sensitivities: Normal Abnormal Normal Abnormal Vision: Hearing: Heart condition: Lungs & chest: Comments: Drug allergies: Medical alerts:

7 Current medications: Name of personal Physician: Other: Phone number: In the event of an emergency, please contact: ( please make sure this person is not in the same car) Name: Phone number: Relationship: I do give Big Bend Open Road Race permission to release my medical information/physical form to emergency personnel. I do not give Big Bend Open Road Race permission to release my medical information/physical form to emergency personnel. I certify that the above is true and complete and further certify that there is no reason physically or mentally that would preclude me from participating and driving in the Big Bend Open Road Race. Driver signature Date This form must be filled out by the primary Driver and/or 2nd Driver.

8 Navigator/Co-driver Medical Information Form Must Be Completed By All Navigators/Co-drivers Navigator/Co-driver: DOB: Address: City: State: Zip: In the event of an accident, the following information is important. Please complete all sections. HEALTH HISTORY Yes No Yes No Yes No Asthma Nervous stomach Head or spinal injuries Tuberculosis Diabetes Extensive confinement Kidney disease Psychiatric disorder Cardiovascular disease Any other nervous disorder If YES to any of the above, explain: Seizures, fits, convulsions, or fainting Permanent defect from illness/disease Sex: Height: Weight: Date of birth: Blood type: Drug sensitivities: Normal Abnormal Normal Abnormal Vision: Hearing: Heart condition: Lungs & chest: Comments: Drug allergies: Current medications: Medical alerts: Other:

9 Name of personal Physician: Phone number: In the event of an emergency, please contact: ( please make sure this person is not in the same car) Name: Phone number: Relationship: I do give Big Bend Open Road Race permission to release my medical information/physical form to emergency personnel. I do not give Big Bend Open Road Race permission to release my medical information/physical form to emergency personnel. I certify that the above is true and complete and further certify that there is no reason physically or mentally that would preclude me from participating and driving in the Big Bend Open Road Race. Navigator/Co-driver signature Date This form must be filled out by the Navigator/Co-driver.

10 Practice and Qualifying The Practice and Qualifying sessions will take place in Sanderson. The times and locations are listed on the schedule. Please check one: Practice for Licensed Drivers - $200 Rookie Orientation & Qualifying Practice - $ Practice and Qualifying is a valuable part of the Big Bend Open Road Race as it is a great opportunity for you to test your vehicle. If you are entering two (2) Drivers in the same car and both are Rookies, the $250 Class Fee covers both. Fill in and return the form below to register for Practice and Qualifying. We need to know if you plan, or need, to take the Rookie Orientation & Rookie Qualifying (see below and Part I, 8 - Race Participant Qualifications and Regulations in the Rules, Regulations & Technical Specifications for more information). Please include the fees for the Practice and Qualifying with your entry fee. Name: Address: PARTICIPANT INFORMATION City: State: Zip: Home Phone: Work Phone: Target speed: Navigator/co-driver Information (if applicable): VEHICLE INFORMATION Year: Make: Body style: Color: Transmission: Manual Automatic Tires: Make: Model: Size: Manufacturer's maximum recommended inflation pressure:

11 2018 Checklist & Descriptions The Big Bend Open Road Race package should contain the following forms. A description of each form follows the checklist. If you have any questions about the forms, please do not hesitate to contact us. INCOMPLETE ENTRY PACKETS WILL NOT BE ACCEPTED! * Policy and Notes * Driver s Medical Form * Entrant Information Entry Application A * Navigator s Medical Form * Entry, Vehicle, Payment Entry Application B * Copy of Drivers License and car insurance * Practice and Qualifying Form * BBORR 2018 Schedule 2018 FORMS MUST BE COMPLETED 2017 FORMS WILL NOT BE ACCEPTED Entry Applications - These applications (A, B and medical forms) must be completely filled out in order to participate in the Big Bend Open Road Race. You must be a member in good standing of the Big Bend Open Road Race. Memberships are good for one year. Any person who will be in the vehicle during the race must also be a member in good standing. Rookie Practice and Qualifying Form - This will reserve your place in our instruction session and/or the practice session. Medical Forms - Any person who will be driving and/or navigating the vehicle during practice, qualifying session, and/or during the actual race must submit to the Big Bend Open Road Race a medical form filled out and signed by the Driver and/or Navigator/Co-Driver. The staff of the Big Bend Open Road Race can be reached as follows: Race Coordinator Registration, Car Numbers, Etc. Crystal Lopez Big Bend Open Road Race PO Box 416 Fort Stockton Texas Ph: Fax: cvb@fortstockton.org Race Director: Dustin Archer darcher68@gmail.com Race Advisor: Randy Archer stocktonrodders@hotmail.com Assistant Race Director: George Luera rluera@sgwine.com Chief of Tech: Mike Dominguez roddriver60@gmail.com Assitant Chief of Tech: Joe Henderson hairyjoe1052@hotmail.com

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