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2010 District 7

Membership Application

Back again for 2010 is the standard one fee $40.00 membership card for District 7 Quad Classes. This allows the rider a basic membership in District 7 only. The riders money goes to District 7 in which $25.00 goes directly to the awards fund for year end awards and another $10.00 goes towards your MRA subscription. Should you have any questions please contact AMA District 7 Membership.


STEP 1: ALL FIELDS MUST BE FILLED OUT.
Complete the form below and read and accept the the release section then click the submit button. The next page will allow you to chose your form of payment.


Name:
Address:
City:
State:
ZIP:
Phone:
E-Mail:
Age: D.O.B.: SEX: MF
AMA# AMA Expires:
Primary Discipline: (Motocross, Harescrambles)
Primary Class: (Vet, Senior, etc.)

SELECT ONE


New Application Renewal

Quad Motocross - Select ALL that apply

A B   C  
VET SENIOR   WOMENS  

Quad Harescrambles - Select ALL that apply

A B   C  
VET SENIOR   WOMENS  

In consideration of being granted an Amateur Competition Card and in consideration of being permitted to participate as a rider or pitcrew in Amateur events sanctioned by the American Motorcyclist Association:
RELEASE, INDEMITY AND ASSUMPTION OF RISK AGREEMENT
Applicant acknowledges the substantial risk of injury to person and property arising from participation in motorcycling events and further acknowledges that such injury and damage can be caused by the negligent acts and omissions of persons and organizations connected with the conduct of such events. Applicant herby assumes all risk of loss, damage or injury (including death) to applicant's person or property from any cause whatsoever, whether or not such cause is attributable to the negligence of others.
Applicant hereby releases, discharges, and agrees to hold harmless and indemnify the American Motorcyclist Association, Motocycling Unlimited of AMA District 7, sponsoring clubs and organization, promoters, officials, fellow participants, land owners, and those acting in their support or on their behalf from any and all liability arising by a hegligent act or omission or otherwise resulting in personal injury or property, damage to applicant, applicant's property or applicants family, while participating in motorcycling events or while upon, entering or departing from the premises upon which such motorcycling events are conducted.

Have you completely read this application?

Proceeding to submit this form, I have accepted this Release and Indemnity Agreement in lieu of my signature. I am at least 18 year old.

  Press Clear to Reset this online application.   Return to District 7 Home Page