McLarty MX Park Race Registration Form

If you are unable to see FULL RACE DETAILS, please go to a Mac, PC, or Tablet before making your choice

Rider's Name *

Age *

Rider's DOB *

Email *

Phone *

Full Address *

Choose First Race Below *

FIRST RACE

RACE 1 BIKE BRAND*

RACE 1 ENGINE SIZE *

RACE 1 RIDER NUMBER *

All Payback Classes 50%-1st, 30%-2nd, 20%-3rd, per overall

If you choose to race a SECOND race please enter details below...

SECOND RACE

RACE 2 BIKE BRAND

RACE 2 ENGINE SIZE

RACE 2 RIDER NUMBER *

All Payback Classes 50%-1st, 30%-2nd, 20%-3rd, per overall

If you choose to race a THIRD race please enter details below...

THIRD RACE

RACE 3 BIKE BRAND

RACE 3 ENGINE SIZE

RACE 3 RIDER NUMBER

All Payback Classes 50%-1st, 30%-2nd, 20%-3rd, per overall

I understand that by signing this form, I give up all of my rights to sue or make any claim for damages due to negligence or any other reason whatsoever against the track owner, promoters, sponsors and all other persons, participants, or organizations conducting or connected with this event for injury to property or person that I may suffer, including crippling injury or death while participating in the event and while upon event premises. I acknowledge that I know the risk of danger to myself and my property while preparing for and participating in the event and while upon event premises and relying upon my own judgement and ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with this event for damages incurred as a result of my negligence.

Signature of Participant (Typing your name as your signature)

McLarty MX Park Race Registration Form

If you are unable to see FULL RACE DETAILS, please go to a Mac, PC, or Tablet before making your choice

Choose First Race Below *

FIRST RACE

If you choose to race a SECOND race please enter details below...

SECOND RACE

If you choose to race a THIRD race please enter details below...

THIRD RACE

Please Print this Completed form, then press the the Submit button