Membership

Shasta SuperMoto Club Membership Application

Shasta SuperMoto Club Membership is for 1 year. The Membership Application must be filled out completely and the Release of Liability signed. Make checks payable to Shasta SuperMoto Club or pay online via credit card, Cash App, or Venmo.

Choose Your Membership *

Name *

First

Last

Date of Birth *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone *

Bike Make, Model & Plate # *

Release of liability waiver: Member Signature *

Total

$0.00

Pay Membership By: *

Shasta SuperMoto Club Membership Application

Release of Liability

Release of Liability for Minor