"*" indicates required fields CommentsThis field is for validation purposes and should be left unchanged.Event(s) Requested*Individual Requesting CredentialName* First Last Phone*Email* CompanyCompany Name*Company Website* Company Address* Street Address City State / Province / Region ZIP / Postal Code Job Function/Planned Coverage*example: Photography, Print, Social Media, Radio, etc.Company ContactName* First Last Title*Phone*Email*Company Social Media Account URL(s)Facebook X/Twitter Instagram Other(s)InsuranceTo be granted a credential, proof of insurance is required. The medical information below is necessary to be issued a credential.Medical Insurance Carrier*Medical Insurance Number*Copy of Insurance Information*Max. file size: 3 GB. Emergency ContactName* First Last Primary Phone*Alternate PhoneEmail TERMS OF AGREEMENTTerm 1* I agree that my credential is non-transferrable under penalty of removal from event and future events at the facility and/or hosted by XR Events. Term 2* I agree to wear my event credential at all times while on facility grounds. Term 3* If in the infield at any time the track is HOT, I agree to wear reflective material, either a shirt, vest, and/or jacket. Term 4* I agree to sign the Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement provided by XR Events. Term 5* I agree to comply with any/all instructions given to me by XR and track officials. Term 6* Real-time transmission of video, digital images, real-time audio, including pre-race events, events on the speedway, or any other events on facility grounds, is not allowed as it is the exclusive right and property of XR Events and is otherwise prohibited. "Real-Time" is defined as a continuous account or live, extended live/real-time record, or detail description, depiction, or expressions of an event. Term 7* Secondary Use Prohibited: Any secondary use of any picture/audio description, videotape/film taken or made by the license/credential holder or entity that engaged the holder (including, but not limited to, non-editorial, advertising, sales, promotion or merchandising) is prohibited without written consent from XR Events.
