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Racers
Classes and Fees
Member Services
Practice Payment and Waiver
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Rider Name
*
First
Last
Is Rider Under 18 Years Old?
*
No
Yes (Parent Must Sign Consent)
Rider or Parent Phone
*
Email
*
Rider Signature
*
Clear Signature
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS 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.
Rider Parent Signature
*
Clear Signature
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS 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.
Rider Practice Date
*
Practice Fee:
*
Club Member - $20.00
Non Club Member - $40.00
Premium Club Member - $0.00
Time
What time do you plan on being at the track?
Additional Riders?
*
No
Yes
Rider 2 Name
*
First
Last
Rider 2 Phone#
*
Is Rider 2 Under 18 Years Old?
*
No
Yes (Parent must sign the waiver)
Rider 2 Signature
*
Clear Signature
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS 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.
Rider 2 Parent Signature
*
Clear Signature
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS 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.
Rider 2 Practice Fee:
*
Club Member - $20.00
Non Club Member - $40.00
Premium Club Member - $0.00
Are You Paying For Spectators?
*
No
Yes
How Many Spectators Are You Paying For?
*
1-1 Day Pass - $10.00
1-Weekend Pass - $15.00
2-1 Day Pass - $20.00
2-Weekend Pass - $30.00
3-1 Day Pass - $30.00
3-Weekend Pass - $45.00
4-1 Day Pass - $40.00
4-Weekend Pass - $60.00
5-1 Day Pass - $50.00
5-Weekend Pass - $75.00
List All Spectators Names (Type "Minor" next to every spectator name who is under age 18 listed below)
*
Adult Spectators Signature For Waiver (Parents sign for minor children)
*
Clear Signature
I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, UNDERSTAND ITS 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.
Total
$0.00
Paid by:
*
Credit Card
CashApp $ShastaSuperMoto
Venmo $ShastaSuperMoto
Premium Member/No Spectators
Your CashApp Information
*
Your Venmo Information
*
Credit Card
*
Card
Name on Card
Submit
Read Release and Waiver Liability
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