Application Form
Date
of Class:____________________________________
Name:____________________________________
Date of Birth:________________
Address:__________________________
Phone:__________________________
City:______________________________
E-Mail:__________________________
State:_____________________________
Zip:_____________________________
Bike/Model/Year:__________________________
Motocross_____ /
Trails_______
Skill
Level: _______________________________
I
hereby declare that it will be my intent at this Motocross School to
ride at HIGH SPEEDS and to TEST MY RIDING SKILLS and to CHECK THE
PERFORMANCE of the bike I am riding.
I
affirm that I am going to engage in these potentially dangerous
activities of my own volition. I hereby affirm that I enter this school
fully aware of the possible hazards to my person and property therein,
and I assume all risks and responsibilities upon myself.
I
confirm that when I enter this School of Motocross, I do so as a
voluntary participant in the activities conducted therein. If I am
injured in any manner while I am in this school, I will grand full and
unconditional release for any injuries sustained to my person to all
track owners, participants, officials, employees, promotors, instructors
or any others who are responsible for the activities in the school.
On
behalf of myself, my heirs, executors or administrators, I agree to hold
harmless and indemnify all track owners, participants, officials,
employees, promotors, instructors or any who are responsible for the
activiites in the school for any damages or injuries to my person and/or
property.
PLEASE
READ CAREFULLY BEFORE SIGNING INTO 20/20 RACING ACADEMY
I have read the
Application Form: YES_____/_______ (Please initial, participant and
parent/guardian)
Participant
Signature:_______________________________
Date:_________________
If
under 18:
Parent/Guardian
Signature:___________________________
Date:_________________
PLEASE
SEND 30% DEPOSIT TO:
20/20
Racing Academy
109 Country Est. Rd.
Apex, NC 27523
