Check Cashing Application Hollywood Casino at Kansas Speedway


*  Indicates field is required
Personal Information

Personal Information






* **

ft in
lbs
cm
kg
** You must provide a Passport or Driver's License
** International Applicants must provide a Passport or International ID
Trip Information

Trip Information

$

Employment Information

Employment Information

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*
$

New Jersey Gaming Declaration

Are you a gaming related casino employee, a state officer or employee, member of judiciary or legislature, or an officer of a municipality or county in New Jersey?


Financial Information

Financial Information
$
$
$
$
$
Primary Bank Information

Bank Account #1

Pre-paid debit and credit cards are not valid options.
 * Applicant must be the sole proprietor of this account
Secondary Bank Information

Bank Account #2

Pre-paid debit and credit cards are not valid options.
 * Applicant must be the sole proprietor of this account


Gaming Information Other Casino Credit

Gaming Information Other Casino Credit




License Agreement

I give Kansas Entertainment, LLC, dba Hollywood Casino at Kansas Speedway (herein referred to as "HCKS") and its representatives authorization to obtain and verify my financial information from any source, including information pertaining to my personal and business accounts; obtain my financial and employment history, and exchange information with others about my financial and account experiences with HCKS. I agree not to hold any of the entities responsible or liable for the information released, nor HCKS for its use of any such information. I agree that HCKS may retain and use the information on this application and any information it receives based on my authorization whether or not I am granted check cashing privileges.

As a condition to being granted check cashing privileges, I authorize a representative of HCKS to complete any missing items on the check. I understand that at the time I cash a check at HCKS, the check may be electronically deposited the same day.

Pursuant to Kansas Statute Chapter 21, Article 58, I acknowledge that Kansas law exclusively governs the terms of these transactions and understand the exclusive jurisdiction for any dispute arising out, of or related to any of the above, shall be a state or federal court sitting in Wyandotte County, Kansas. In addition to any amounts authorized by law, I agree to pay (if dishonored by a financial institution) all costs of collection, including, but not limited to, returned check fees, attorney's fees and court costs.

I certify that I have reviewed all of the information provided above and that it is true and accurate. I authorize HCKS to conduct such investigations pertaining to the information as it deems necessary for the approval of my check cashing limit.

I certify that I am 21 years of age or older. I further represent that I have not been excluded from any gaming operation, nor have any of my privileges at any gaming operation been restricted, either voluntarily or by action of law.

Privacy Policy

Click here to view the Privacy Policy for Hollywood Casino at Kansas Speedway.

Click here to view the Privacy Policy for NRT Technologies, Inc. and VisuaLimits, LLC.

Signature

I, the undersigned, hereby authorize and instruct Hollywood Casino at Kansas Speedway and its agent NRT Technologies, Inc. and VisuaLimits, LLC. ("NRT") and its affiliates to obtain consumer reports, to contact financial institutions, and to check my consumer credit, employment, bank and gaming history in order to evaluate my check cashing application as well as to update and/or review my account to provide services requested by me, as necessary or as required by law. I authorize Hollywood Casino at Kansas Speedway, NRT or its affiliates to verify such information through any source and to report any information to another casino, excluding credit report data obtained from a credit agency, and to exchange any information with any of the affiliates of the Company. I hereby release and waive, and agree not to bring at any time in the future, any claims or demands against NRT or its affiliates relating to any credit investigation made pursuant to my authorization and instructions herein, including, without limitation, the collection, processing, and transmission of my information and data.

NRT Technologies, Inc. and VisuaLimits, LLC. ("NRT") promotes responsible gambling. By entering my name in the signature field and clicking the "I Accept" button below, I acknowledge that I have read the NRT Technologies, Inc. and VisuaLimits, LLC. Responsible Gaming Policy.

By entering my name in the signature field and clicking the "I Accept" button below, I hereby represent, warrant, and agree that all information provided herein is true and correct, that I am the person for whom I am requesting check cashing, and that I have read, understand, and agree to be bound by all of the terms herein.

I hereby acknowledge and agree that this Application may be signed electronically and that such electronic signatures shall be deemed an original for all purposes. I represent and warrant that by signing this Application electronically or causing this Application to be signed electronically that I have the authority to do so and that such electronic signature shall be sufficient to bind the respective party under this Application.