More track time for less money!

Complete and sign this form prior to the event. It will be collected with your signed Release Form in the Tech Line.

TECH INSPECTION FORM car #______

The participant is solely responsible for the safety of their car and the condition of the items on this list. Have all items on this list inspected by your mechanic or yourself if you are qualified. Check off each item as it is inspected.

Car Make and Model _________________________________ Year ____________

BRAKES: Brake fluid changed in last 30 days ____ Brakes recently bled ____ Sufficient brake pad/linings ____ Brake pedal firm ____ Brake lights operational ____ TIRES: Ample tread depth ____ Rims in good condition ____ Wheel lugs tightened ____ Wheel covers removed ____ Proper tire pressure ____ COCKPIT: No loose items in car ____ Floor mats removed ____ Metal to metal operational seatbelt ____ Rearview mirror/exterior mirror ____ Clean windshield/no cracked glass ____

ENGINE: Battery secure ____ Belts checked ____ Electrical harness and relays secure ____ Oil and gas lines secure ____ Fresh fluids filled/no active leaks ____ Throttle linkage and return operational ____ SUSPENSION: Wheel bearings tight ____ Steering linkage tight ____ Shocks/struts in good condition ____ Metal/flexible brake lines good ____ DRIVER: Long sleeve shirt and long pants ____ OR full driver suit ____ Snell SA 95 or newer rated helmet ____ ASSIGNED CAR NUMBER: Appears on both sides of car ____

TECHNICAL INSPECTION-RELEASE AND ACKNOWLEDGMENT

I acknowledge that the technical inspection performed on my automobile is solely for the purpose of car preparation for the high speed driving event. No warranties are implied or expressed in passing or falling the inspection performed. I release the inspector appointed by SAFE Motorsports from any and all liability arising from their inspection whether or not due to their negligence. I acknowledge that at all times I remain solely responsible for the safety and road worthiness of my automobile, and I am not relying on the inspection in deciding whether or not to drive my automobile in this high speed driving event.

Print Driver Name ____________________________
Driver Signature _____________________________	Date ____________