Untitled Page

Name

Address

Bike #

Brand

Age

Birthdate

Sponsors

Select First Class

Select Second Class

Select third Class

Select Fourth Class

City, state, zip

Rider Signature:

Parent/Guardian
Signature:

Form will be signed and entry fees will be taken at signup

I UNDERSTAND THAT THE LANDOWNERS, PROMOTERS, AND TRACK
OFFICIALS AND THE AMXA ARE IN NO WAY RESPONSIBLE FOR INJURY
TO PERSONS OR DAMAGE AND/OR LOSS OF PERSONAL PROPERTY.
I DO KNOW THAT MOTORCYCLE RACING IS DANGEROUS AND THAT I
AM RESPONSIBLE FOR MY OWN INSURANCE, AND I FFURTHER UNDER-
STAND THAT THERE MAY NOT BE AN AMBULANCE ON SITE FOR RACING
EVENTS AND/OR PRACTICE.  IT IS UNDERSTOOD THAT I MAY BE 
DISQUALIFIED AND/OR PENALIZED NOT ONLY FOR MAY ACTIONS BUT
THAT OF MY PIT CREW AND/OR FAMILY, AND IN SUCH EVENT,  NO FEES
WILL BE REFUNDED.  IN THE EVENT THAT THE RACES ARE  STOPPED FOR
ANY REASONS AND THE FIRST MOTOS HAVE BEEN COMPLETED, THE RACES
SHALL BE CONSIDERED COMPLETED. IN SUCH EVENT NO FEES WILL BE 
REFUNDED.  I UNDERSTAND THAT I WAIVE MY RIGHT TO SUE FOR ANY 
REASON WHATSOEVER THE EVENT PROMOTER, TRACK OWNER, LAND
OWNER, OR ANY ONE ELSE AFFILIATED WITH THIS SERIES AND/OR EVENT.

Email:

MOTOCROSS CLASSES

PHONE NUMBER