VN and Q30 Registration and Tech Form

Driver Information

Driver's First Name:*

Driver's Last Name:*

Email*

Enter Email Confirm Email

Phone:*

Provide a phone number that can receive text messages from TSS staff please.

Forum Name:

Enter "n/a" or leave blank if none.

T-Shirt Size

Hat Size

Sizes based on "Flex-Fit" style fitted hats.

The driver of my vehicle possesses a valid driver's license?*

Yes
No

I warrant that the driver of my vehicle will always operate my vehicle wearing a helmet?*

Yes
No

I warrant that driver of my vehicle will always operate my vehicle wearing closed toe shoes?*

Yes
No

Vehicle Information

Vehicle (all vehicles are welcome)*

I will be driving a non Viper platform
1st Generation Viper 1991-1995
2nd Generation Viper 1996-2001
3rd Generation Viper 2003-2006
4th Generation Viper 2008-2010
5th Generation Viper 2013-Present

If you are driving a non-Viper vehicle, please state the year, make, and model below.

Estimated Rear Wheel Horsepower:*

Which classes are you most interested driving in?*

We will track speeds throughout the day and select finalists in each class. Only the top two drivers in each class will pair up for an elimination run a the end of the day.

Self Tech Vehicle Inspection

The owner and/or operator of the vehicle you enter in the Viper National is solely responsible for the safety and operation of the vehicle entered. On your vehicle we encourage you to install fire suppression, a drive shaft loop, run water instead of coolant, install a roll cage and five point harness, and install a "HANS" device.

I warrant that my vehicle is free from any fluid leak?*

Yes
No

I warrant none of the wheels or brake rotors on my vehicle have any cracks?*

Yes
No

I warrant that none of the tires on my vehicle have any dry rot?*

Yes
No

The driver of my vehicle certifies that they will wear a fire jacket if running faster than a 8.99 ET.*

Yes
No

My vehicle will be equipped with at least a 4 roll point cage if running faster than a 7.99 ET.*

Yes
No

Driver Liability

The term "Driver" as used below means the person input as the driver in the "Driver Background" section of this registration and tech form.

Driver certifies that they have read and accepted the Global Terms and Conditions as stated on the Texas Speed Syndicate website and accept that their driver fee is non-refundable and non-transferable under any circumstances.*

Yes
No

DRIVER UNDERSTANDS, AGREES, AND ACCEPTS THAT SPEED SYNDICATE, LLC PROVIDES NO EXPRESS OR IMPLIED WARRANTIES WITH RESPECT TO OPERATION OR MANAGEMENT OF THE VIPER NATIONAL OR QUICK 30 EVENTS AND/OR THE HOSTING RACE TRACK INCLUDING BUT NOT LIMITED TO THE SERVICES PROVIDED BY THE HOSTING RACE TRACK.*

Yes
No

DRIVER AGREES TO HEREBY HOLD HARMLESS AND RELEASES SPEED SYNDICATE, LLC FROM ANY LOSS OR INJURY TO DRIVER CAUSED BY THE NEGLIGENCE OR OMISSIONS OF SPEED SYNDICATE, LCC WITH RESPECT TO THE OPERATION OR MANAGEMENT OF THE VIPER NATIONAL OR QUICK 30.*

Yes
No

Guests

The Viper National and Quick 30 is open to the public. Driver fees include one guest. All others pay at the gate. Sponsors, get to bring one guest as well. Sponsors, please communicate your guest lists to TSS via email at info@texasspeedsyndicate.com.

First Guest Full Name:

VN and Q30 Joint Event Form 2017

Driver Information

Vehicle Information

Self Tech Vehicle Inspection

Driver Liability

Guests