annual membership $20 battle born mx
TRANSCRIPT
Warning! Motorcycle racing is hazardous and can result in injury or even death. $20 yearly membership fee required or $10 for one day membership
Please Print Clearly
First Name M.I. Last Name
Street Address City State Zip
( ) ( )
Daytime Phone Evening Phone
/ /
Age* Date of Birth Email
Racing Class: Present Racing # & Letter
READ RELEASE ON BACK AND SIGN ONLY IF AGREEBALE TO THE TERMS AND CONDITIONS
Send completed applications to: Battle Born MX
10140 Barrel Racer Dr
Reno, NV 89521
Contact Phone: (775) 219‐3798
*You must include a photocopy of your ID if you are 18 or older. If you are under 18 your parent or legal guardian
MUST sign the release on the back of this application and include a copy of their ID.
Battle Born MX Application for Membership
Annual Membership $20
Day Pass $10
MOTORCYCLE RACING IS DANGEROUS
THIS IS A RELEASE
WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
IN CONSIDERATION OF my being granted a membership, license and/or competition privileges in Battle Born MX
I understand that I and/or my minor children identified on this form for which I am legally responsible as a parent or otherwise, have
agreed to voluntarily engage in the activity of motorcycle racing/riding. I acknowledge and understand that Motorcycle racing/riding
bears significant risks, both foreseen and unforeseen, which could result in damage, illness, injury, or death to myself or parties
and/or damage or injury to my property or the property of others. Regardless of these known and unknown risks I/We voluntarily
choose to participate in the Activity of motorcycle racing/riding; no one is forcing me or the minor children identified below to
participate and we are electing to participate in spite of the risks, known and unknown.
I/WE HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANT NOT TO SUE Battle Born MX, the promoters, organizers, participants,
racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials and their assistants,
rescue personnel, sponsors, advertisers, lessees, constructors of premises used to conduct the EVENT (S), and others who may give
recommendations, directions, or instructions.
I/WE ACKNOWLEDGE, AGREE AND REPRESENT that I have or will immediately upon entering any RESTRICTED AREAS, and will
continuously thereafter, inspect the RESTRICTED AREAS, which I enter and future agree and warrant that, if at any time, I am in or
about any RESTRICTED AREAS and I feel anything to be unsafe, I will immediately advise the officials of such and will leave the
RESTRICTED AREAS and / or refuse to participate further in the EVENT (S).
I/WE HEREBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or
related to the EVENT (S) WHETHER CAUSED BY THE NEGLIGENCE OF THE RELESEES OR OTHERWISE.
I HAVE READ THIS PARTICIPANT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY
UNDERSTAND IT'S TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY
AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE, OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE
TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.
I HAVE READ AND VOLUNTARILY SIGN THE PARTICIPANT RELEASE, and further agree that no oral representation, statements, or
inducements apart from the forgoing written agreement have been made. I FURTHER ACKNOWLEDGE that this license/credential
has been issued by BBMX for the exclusive use by me. The holder agrees to act in accordance with the BBMX Rulebook and agrees to
abide by any amendments or supplemental rules. Transfer or misuse of this license/credential is cause for revocation.
APPLICANT LEGAL SIGNATURE
APPLICANT PRINTED NAME DATE
**IF UNDER 18, YOUR PARENT OR LEGAL GUARDIAN MUST SIGN BELOW**
NOTICE, IF CONSIDERED A MINOR IN THE STATE OF RESIDENCE (i.e. under the age of 21 or 18 as applicable) this application must
bear the signature of parent or legal guardian which shall acknowledge a waiver and release of any and all claims such parent or
legal guardian may have.
Parent or Guardian Signature Printed Name Relationship to Applicant