Road Course & Autocross

 

OPEN TO COBRA REPLICAS, VIPERS, MUSTANGS, CORVETTES, PORSCHE, and other

Special Interest Vehicles

Car Show at the Host Hotel 

 

TROPHIES AND PRIZES

Hosted by Mile Hi Cobra Club and NASA

EVENT REGISTRATION

 

Detach and mail with your check or credit card # to:

NASA COLORADO PO BOX 1316 Eastlake, CO 80614 303-457-9797 MST

Registration: $___ per driver, plus $___ annual NASA membership*

Name _________________________________________ NASA #

Address

City ___________________________ State __________ Zip

Phone _________________________ email

T-shirt size?________ Lunch$___ ?_______ Sunday BBQ $___ ________

Do you have a permanent number on your car?

Car number 1st choice_______ 2nd choice______ 3rd choice__________

Car Class: Street________ Prepared___________ Pro_____________

Make______________________ Model ________________ Color

Engine: _______________Tires

How many open track events have you attended?

In case of emergency contact:

Name:________________________________ contact phone #

At the track Y/N___________ Your blood type_________

Medical info:

 

To charge registration, please complete below:

Card number Amount
Signature

 

 Expiration date
?Mastercard ? Visa ? American Express check #__________

 

* $___ NASA registration fee is waived if you are a current NASA member.

REGISTRATION DEADLINE  ______ 2002

 

Tech inspection requirements for July 12-14, 2002 at HPT

You are responsible for putting a safe car on the track. It is your responsibility to check all the items below and sign off on them before your car is teched. The tech inspectors will go over them in general, but you will have checked them in detail before going through tech inspection

  • OPEN CARS- All open cars must have a roll bar, single loop Cobra roll bars are acceptable.
  • HEADLIGHTS- Glass light and lenses must be taped. Plastic lenses excluded.
  • SEAT BELTS- Open cars must have competition type belts and shoulder harnesses. DOT type seat belts are required in other cars.
  • INTERIOR- Seat must be securely mounted: all loose objects must be removed. A fire extinguisher is required and must be secured in the car.
  • BATTERY- Must be securely mounted; terminals tight and in good condition. Positive terminals must be taped or covered.
  • TRUNK- All loose items must be removed- Empty! Glove box must be empty.
  • TIRES- Must be in good condition.
  • BRAKES-tested for pedal travel, fluid level, and brake pads.
  • BRAKE LIGHTS- must be operational.
  • FLUID LEAKS- NONE ALLOWED!
  • WHEELS- checked for lug tightness with torque wrench, remove hubcaps and rings.
  • STEERING- Checked for play; check wheel bearing tightness.
  • GLASS- May not be cracked or broken.
  • EXHAUST SYSTEM- Good condition and secure with mufflers.
  • HELMETS- required by drivers and passengers at all times. Snell SA 90 or better.
  • MIRRORS- At least one rear-view mirror required.
  • VIDEO MOUNTS- must be secure
  • HOT LAP TIMERS- must be secure
  • THROTTLE RETURN SPRING
  • NO OPEN WHEEL CARS

 

 

 

REGISTRATION DEADLINE IS _____, 2002

Mid America Challenge Technical Inspection Form

DRIVER-1_____________________________________________ CAR #__________

CAR MODEL____________________________YR___________CLASS_____________

 

INTRUCTIONS

Prior to bringing your car to the track, inspect each item on the car as noted on this sheet. Consult a tech inspector if there is any questions. Making sure your car is ready is your responsibility.

WHEELS

PASS

FAIL

Comments
CONDITION OF TIRES      
ALL LUG NUTS TIGHT AND PRESENT      
NO HUB CAPS OR BEAUTY RINGS      
       
STEERING AND SUSPENSION      
WHEEL BEARINGS FRONT AND BACK      
STEERING PLAY      
STEERING WHEEL LOCK      
       
BRAKES      
PEDAL PRESSURE      
FLUID LEVEL/LAST TIME REPLACED?      
CONDITION OF LINES
BRAKE LIGHTS      
       
ENGINE      
CHECK FOR FLUID LEAKS OIL, WATER, FUEL      
RADIATOR OVERFLOW      
OVERFLOW CONTAINERS      
BATTERY SECURED      
BATTERY TERMINALS COVERED      
NO COOLANT PRESENT      
FLUID LINES      
       
SAFETY EQUIPMENT      
ROLL BARS IN CONVERTIBLES/COBRAS      
SAFETY HARNESS      
HELMET SA 90 OR NEWER      
DRIVING SUIT - REQUIRED      
FIRE EXTINGUISHER      
       
MISCELLANEOUS      
GAS CAP SECURED      
NO WIRES EXPOSED      
VIDEO MOUNT SECURE      
HOT LAP TIMERS SECURE      

 

I have inspected the above vehicle and I take full responsibility for its condition on the track

SIGNATURE OF OWNER/DRIVER ___________________________________DATE_______

EACH DRIVER OF A CAR ENTERED WITH MULTIPLE DRIVERS MUST COMPLETE THIS FORM

VIOLATIONS IF ANY:

 

 

PLEASE READ AND SIGN

THIS AGGREEMENT RELEASES US FROM ALL LIABILITY

I AM AWARE THAT MY PRESENCE AT THE TRACK WHETHER INVOLVED IN PIT CREW ACTIVITIES, SPECTATING, DRIVING AN AUTOMOBILE OR RIDING IN AN AUTOMOBILE ON A RACE TRACK, OR TEMPORARY CIRCUIT DESIGNED FOR, AND USED AS A ROAD COURSE, WHETHER IN A RACE, TIME TRIAL, DRIVER EDUCATION PROGRAM, FOR PRACTICE, TESTING OR OTHERWISE, IS A HAZAROUS ACTIVITY INVOLVING A HIGH DEGREE OF RISK OF SEROUIS INJURY OR DEATH. I AM VOLUNTARILY PARTICIPATING IN SUCH ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED AND HEREBY AGREE TO ASSUME ANY AND ALL RISKS OF INJURY OR DEATH RESULTING FROM THIS ACTIVITY.

I hereby release Mile Hi Cobra Club, NASA (National Auto Sport Association), their officers, members, workers, sponsors of the event, participants, instructors, car owners, any of the officials thereof, and all other persons (hereinafter "RELEASEES"), FROM ANY AND ALL LIABILITY TO ME OR TO MY PERSONAL REPRESENTATIVES, HEIRS, NEXT OF KIN, AND ASSIGNS, FOR ANY AND ALL LOSS OR DAMAGE ON ACCOUNT OF ANY INJURY TO PERSON OR PROPERTY OR RESULTING IN MY DEATH ARISING OUT OF OR RELEATED IN ANY WAY FROM MY PRESENCE AT THE ACTIVITY.

This GENERAL RELEASE expressly releases RELEASEES, from injuries and damages which are caused by negligence (whether active or passive, ordinary or gross), or otherwise. By signing this form I am agreeing to be a participant at this event.

I further agree to indemnify and hold harmless RELEASEES from any and all claims, demands, or liability in breach or violation of the terms of this release.

This RELEASE is intended to be as broad and inclusive as permitted under Colorado/Kansas law. If any portion or provisions of this RELEASE ARE HELD INVALID, IT IS AGREED THAT THE BALANCE OF THE RELEASE SHALL CONTINUE IN FORCE AND EFFECT.

I HAVE CAREFULLY READ THIS RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND SIGN IT AT MY OWN FREE WILL.

 

_____________________________________ _____________________

SIGNATURE DATE

 

____________________________________

PRINT NAME

 

 

 

PLEASE BRING THIS FORM SIGNED TO THE TRACK. YOU WILL NOT BE ALLOWED ON THE TRACK WITHOUT IT. FOR CARS ENTERED WITH MULTIPLE DRIVERS, THIS FORM MUST BE COMPLETED BY EACH DRIVER.

REGISTRATION DEADLINE _____, 2002

 

 

 

 

 

 

 

 

MID AMERICA CHALLENGE

AT HEARTLAND PARK TOPEKA

July 12/14 2002

 

(Schedule subject to change)

__________

1-3PM CAR SHOW AT THE CAPITAL PLAZA HOTEL

5PM-7PM MOG (MIDSTATES owners + OTHERS) BBQ AT TRACK

6PM REGISTRATION / TECH INSPECTION AT TRACK

 

____________

7:00 AM- GATES OPEN AT HPT, TECH INSPECTION IN DESIGNATED AREA

7:30 AM- MANDATORY DRIVERS MEETING

8:00 AM- OPEN TRACK ON ROAD COURSE & AUTOCROSS DRIVING INSTRUCTION AVAILABLE

12PM- 1PM LUNCH BREAK

1:00 PM- TIMED RUNS ON ROAD COURSE AND AUTOCROSS

5:00 PM- END OF DAY

_______________

7:00 AM- GATES OPEN

7:30 AM- MANDATORY DRIVERS MEETING

8:00 AM- TIMED RUNS ON ROAD COURSE AND AUTOCROSS

3:00 PM AWARDS

5:00 PM- END OF MAC

 

 

 

HOST HOTEL IS THE CAPITAL PLAZA HOTEL (785) 431-7200

Rate is $84 per night 1717 SW Topeka Blvd. Topeka, Kansas

Other hotels:

Raceway Inn 1-800-657-7215

Plaza Inn 785-266-8880

Best Western Meadow Acres 1-800-528-1234

Your entry fee will include t-shirt. Additional t-shirts will be available for purchase. Numbers can be purchased after your number is approved at Operations Plus 714-962-2776, or a local sign shop(Fast Signs). If you need assistance please contact me.

No refunds after ______ , 2002

 

 

 

 

CLASSES FOR MAC 2002

 

 

CATEGORIES AND CLASSES ARE AS FOLLOWS:

STREET- Passenger car street tires, unshaved, racing tires prohibited. Must use same tires throughout event. No open exhaust allowed.

  1. Big Block- 400 cubic inches and up
  2. Small block- V-8 up to 400 cubic inches
  3. 6 &4 Cylinder
  4. Power Adder- nitrous, turbos, superchargers

 

PREPARED- DOT tires - determined by tech, open exhaust permitted. Must use same tires throughout event.

 

  1. Big Block- 400 cubic inches and up
  2. Small Block- V-8 up to 400 cubic inches
  3. 6 & 4 Cylinders
  4. Power Adder- nitrous, turbos, superchargers

 

PRO- May use slicks, open exhaust permitted.

  1. Big Block- 400 cubic inches and up
  2. Small Block- V-8 up to 400 cubic inches
  3. 6 & 4 Cylinders
  4. Power Adder- nitrous, turbos, superchargers

Event Awards will be presented to the drivers with the lowest lap time from the timed portion of the open track event and the lowest time in the autocross for each class.

Overall Awards will be presented to the 1stand 2ndplace drivers in each class with the combined lowest times from the autocross and open track events.

 

Heartland Park Topeka 2.5 mile Roadcourse

 

revised 3/4/2001 3/17/2001 to be revised again 2002