Competition License Online Application

 

Please complete the application below

Competition Licenses expire March 31 each year.

All licenses are subject to final approval by driver license verification in person.
Wheel to Wheel and Studded Ice Racing will be required to show proof of approved physical at each event.

Name *
Name
Phone *
Phone
Address *
Address
This is the number that will be visible on your vehicle for all events, and provided for any event registrations. Number is subject to approval and availability.
Requesting AASCLC Number Change *
If requesting to change your number, you must provide your suggested 1st, 2nd and 3rd choices.
Subject to approval and availability.
Subject to approval and availability.
Subject to approval and availability.
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT FOR ALL AASCLC EVENTS FOR THE PERIOD STATED ABOVE *
1. HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE *
2. HEREBY AGREES TO INDEMNIFY AND SAVE AND HOLD HARMLESS *
3. HEREBY ASSUMES FULL RESPONSIBILITY FOR AND RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE *
EACH OF THE UNDERSIGNED *
COMPETITION RULES *
ADDITIONAL REQUIREMENTS *
The following will need to be provided and/or verified before this application can be approved. - Payment of application - Verification of Driver License - Current DOT or FAA Physical (wheel to wheel, super stud ice racing)
Signature *
Signature
Date *
Date
Payment *
We have below options available for receiving payment. Please note that if invoiced payment is expected upon invoice receipt.
Copy of Application *
Please select if you would like to be forwarded a copy of your application for your records.