2022 Media Credential Agreement

Download and print the Media Credential Agreement


After signing this agreement, you will be instructed to sign in at the office for any event held at Dog Hollow Speedway in 2022. Media Card and Photo ID may be required when you sign in. One form per applicant – Credential expires Dec 31, 2022

To receive a credential from Dog Hollow Speedway, RFR Motorsports must receive a written request from the editor or assignment editor of the medium that you represent. Freelance applicants will NOT be issued a credential without proof of a confirmed assignment from an approved media organization.

Name of Media Represented: ______________________________________________________________
________ Writer ________ Photographer/Videographer ________ Other

Type of Media (please check one):
________ Print Choose One: _____ Local ______ National ______ Racing Trade
Choose One: _____Newspaper ______ Magazine ______ Other _________________
________ Radio ________ Television/Video ________ Other___________________________

Name of Applicant: __________________________________________________________________________
Address: _______________________________________________________ Apt ________________________
City, State, Zip:______________________________________________________________________________
Phone: (Cell) _____________________ (Home) __________________ (Work) ___________________________
E-mail Address: ______________________________________________________________________________
Editor Name: __________________________________ Phone Number: _________________________________

TERMS AND CONDITIONS AGREEMENT (Please Read Carefully)
I hereby certify that I am an independent contractor, assuming all responsibility for myself as a result of participation in Dog Hollow Speedway events. I am not an employee, servant, or agent of Dog Hollow Speedway and agree to abide by all rules and regulations.

PRINT/PHOTOS – The Dog Hollow Speedway media accreditation terms and conditions include (but are not limited to) the provision that any stories produced, and/or still photographs taken at each event will be used for media purposes only AND NOT FOR COMMERCIAL USE. Dog Hollow track photographer has an exclusive right to ALL PHOTO SALES – online or at the track – from Dog Hollow Speedway. Anyone caught selling photos will have their credentials revoked for the remainder of the season, and may be asked to leave the speedway premises.

The undersigned understands that he/she and beneficiaries, executors, and assigns will be entitled to the benefits of insurance coverage provided by the Dog Hollow Speedway for accidental injuries or death which occur as a result of external, violent, and visible means sustained during Dog Hollow Speedway events. The coverage of said policy shall constitute the limit of liability of Dog Hollow Speedway for such injuries occurring to the undersigned in any Dog Hollow Speedway event provided proper notification is filed with Dog Hollow Speedway management prior to that person leaving speedway property.

The undersigned fully understands that a race car exposes him/her to risks that can lead to serious bodily injury or death. The undersigned voluntarily assumes these risks.

WITH MY SIGNATURE BELOW, I CERTIFY THAT I HAVE READ AND FULLY UNDERSTAND THIS AGREEMENT. I AGREE TO ABIDE BY ALL TERMS OF THIS AGREEMENT AND THE RULES OF DOG HOLLOW SPEEDWAY.

Applicant’s Signature: _______________________________________ Date: __________________________

Please return this form (signed and dated) to:
Dog Hollow Speedway by RFR Motorsports
2053 Camp Drive
Windber, PA 15967.

All questions and concerns can be sent to [email protected] or call 814-525-0549 or 814-483-6121.