| THIS IS A RELEASE AND INDEMNITY |
|
QUAD CLASSES:___________________________ |
| AGREEMENT READ IT BEFORE SIGINING |
|
__________450 2 Stroke # (000-039) |
|
|
__________450 4 Stroke # (040-079) |
|
|
__________Open 2 Stroke # (080-119) |
| I hereby give up all rights to sue or make claim for damage due to negligence or any other reason whatsoever against the Pioneer Motorcycle Club, members, officers, American Motorcycle Association and their respective district organizations, the promoters, sponsors, and all other persons, participants or organizations conducting or connected with this event for injury to property or person I may suffer, including crippling injury or death, while participating in the event and while upon the premises. I know the risks of danger to myself and my property while preparing for and participating in the event and while on the event premises and, relying upon my own judgment and ability, assume all such risks of loss and hereby agree to reimburse all cost to those persons or organizations connected with this event for damages incurred as a result of my negligence. |
|
__________Open 4 Stroke # (120-159) |
|
__________Vet 40+ # (160-199) |
|
|
|
|
|
YOUTH CLASSES:__________________________ |
|
__________50CC (4-8) # (200-239) |
|
__________50CC (6-11) # (240-279) |
|
__________85 & 125CC 4stk (6-12) Girls # (280-299) |
|
__________85CC Junior (7-11) # (300-349) |
|
__________85CC Senior (12-15) # (350-399) |
|
|
|
|
|
BIKE CLASSES:__________________________ |
|
__________125CC # (400-449) |
|
__________250CC # (450-499) |
|
__________450CC # (500-549) |
|
|
__________600CC # (550-599) |
|
|
__________Open # (600-649) |
| THIS IS A RELEASE:_________________________________________ |
|
__________Senior 40+ # (650-699) |
| SIGNATURE OF PARTICIPANT |
|
__________86 - 400cc Stock Wheel Base # (700-749) |
|
|
__________401cc - Up Stock Wheel Base # (750-799) |
| THIS IS A RELEASE:_________________________________________ |
|
__________126-200 2 Stk $ 250cc 4 Stk # (800-849) |
| SIGNATURE OF PARENT |
|
__________Woman's 86cc $ UP # (850-899) |
| (REQUIRED OF ALL PARTICIPANTS UNDER 18 YEARS OF AGE) |
|
__________Super Senior 50+ # (900-949) |
