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Visit our Honda Riders Club of America Website. www.monarchhrca.com
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2008 USRA DESERT ONLY APPLICATION
Send to: Lila Lundgreen 9584 Elk Ridge Dr, Eagle Mountain Ut 84005
Send self addressed stamped envelope to return card
Make Checks payable to USRA
____Full Year $25.00
____Day Pass $5.00
PLEASE PRINT!
NAME__________________________ B-DATE______ PHONE #________
ADRESS_______________________________ APT #_______
CITY___________________ STATE___________ ZIP____________
E-mail Adress________________Age___Sex____Club_______Coat Size___
Caution: READ BEFORE SIGNING
I, the undersigned, for myself and for my heirs, personal representatives and assigns, do hereby release and forever discharge Utah Sportsman Riders Association Inc. and any other person, firm, or corporation charged or chargeable with responsibility or liability, their heirs representatives and actions and causes of action arising from any act or occurrence, and particularly on account of all personal injury, disability, property damage, loss damage of any kind that i may hereafter sustain as a result of participating in an event named as USRA sanctioned. I fully understand the nature of the activities to be conducted by Utah Sportsman Riders Association Inc., acknowledge the hazards of said activities and voluntarily assume the risk of injury to my person, property of others. Your membership does not in anyway include or guarantee to any insurance coverage of any kind. Insurance, if any, provided by a USRA sanctioned club, is without cost to you and may be decreased, decreased, canceled, or changed in any way by the sanctioning USRA club at any time at its sole discretion.
THE USRA RESERVES THE RIGHT TO REFUSE OR REVOKE THE MEMBERSHIP OF ANY ONE. IF THE MEMBER IS UNDER EIGHTEEN, THIS FORM MUST BE SIGNED BY HIS OR HER PARENT OR LEGAL GUARDIAN.
PLEASE SIGN:
Date:___________
MEMBER SIGNATURE:
__________________________________________________
PARENT SIGNATURE:
__________________________________________________
BIKE SIZE CC:_________ 2 STROKE 4 STROKE
DESERT ONLY USRA # ________
CHECK ONE: EXPERT AMATEUR NOVICE TEAM SPORTSMAN
CLASS: 65 A(10-12) 65 B(7-9) MINI SCHOOL BOY POWDER PUFF
BEG WOM WOMEN 125/200 250 OPEN(280CC+) 4 STROKE 0/25
0/30 0/35 0/40 0/45 0/50 0/60 ATV A ATV B ANTIQUE
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2008 USRA MX MEMBERSHIP APPLICATION
PLEASE SEND TO:
Dana Barlow
8138 Mapleleaf Way
West Jordan, UT, 84088
E-mail: hotsy@xmission.com
BIKE #
Choice #1_______
Choice #2_______
Choice #3_______
$25.00 MOTORCROSS ONLY
NAME_____________________________EMAIL_________________
ADDRESS_____________________________________APT#_______
CITY____________STATE________ZIP______PHONE ( )________
RELEASE AND WAIVER OF LIABILITY AND INDEMNITY
I, the undersigned, for myself and for my heirs, personal representatives and assigns, do hereby release and forever discharge the Utah Sportsman Riders Association Inc. And any other person, firm, or corporation charged or chargeable with responsibility or liability, their heirs, representatives and actions and cause of action, arising from any act or occurance, and particularly on account of personal injury, disability, property damage, loss damage of any kind that I may hereafter sustain as a result of participating in an event named as USRA sanctioned. I fully understand the nature of the activities to be conducted by Utah Sportsman Riders Association Inc., acknowledge the hazards of said activities and voluntarily assume the risk of injury to my person, property, or property of others. NOTE: Your membership does not in any way include or gurantee to any insurance coverage of any kind. Insurance, if any, provided by a USRA sanctioned club, is without cost to you and may be increased, decreased, canceled, or changed in any way by the sanctioned USRA club at any time at its sole discretion. If member is under the age of eighteen yesars, this form must be signed by his or her parent or legal guardian.
THE USRA RESERVES THE RIGHT TO REFUSE OR REVOKE MEMBERSHIP TO ANYONE b>
CAUTION: READ AND RELEASE WAIVER BEFORE SIGNING
MEMBER SIGNATURE_________________________________
PARENT/GUARDIAN SIGNATURE_____________________________
SIGNATURE DATE:_________ YEAR END JACKET SIZE_____________
AGE on JAN 1, 2008_______________________________DOB_______
BIKE BRAND____________BIKE MODEL__________BIKE SIZE______ 2 or 4 STROKE_________
USRA RIDER LEVELS FOR MOTOCROSS (choose one):
PRO___ INTERMEDIATE___ JUNIOR___ BEGINNER(first year racers only)____
USRA CLASSES FOR MOTOCROSS (choose all that apply):
250(125 2-stroke/250 4 stroke)____450(250 2-stroke/450 4-stroke)_____ OPEN_____ Women____ Sportsman___ Over-25____ Over-30____ Over-40(heads up)_____ ATV____ Mini ATV_____
Mini Women_____ 85cc Beg___ 85cc 7-11 JR____ 85cc 12-15 JR___ Supermini____ 65cc 6-8___ 65cc 9-11___ 65cc Open___
Powder Puff_____ Pee Wee Pit Bike_____ Pee Wee Shaft Drive___ Pee Wee Stock 4-6___ Pee Wee Stock 7-8____ Pee Wee Open___
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5th Annual Leather And Ice Auction August 22, 2008
Motorcycle Hall of Fame Museum opens online auction for preview.
Full Story
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AMA Partners With CCS August 22, 2008
AMA announces partnership for Road Race Grand Championships.
Full Story
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MSF Calls For Crash Study August 19, 2008
Urges motorcyclists, drivers to work together to reduce rider deaths.
Full Story
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California Bike Week – Love Ride August 13, 2008
25th Anniversary of the world’s largest 1-day motorcycle fundraiser.
Full Story
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AMA Commends U.S. Forest Service August 7, 2008
Offensive PSAs aimed at ATVs pulled off the air.
Full Story
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Bill Requires ATV Safety Standards August 4, 2008
Congress passes bill requiring ATV safety standards.
Full Story
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July Is Women’s Motorcycle Month July 16, 2008
More than 4.3 million women motorcyclists are on the road.
Full Story
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Ride To Work Day July 14, 2008
Wednesday, July 16 is “Ride To Work Day.”
Full Story
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“MotoStars: Celebrities + Motorcycles” Opens July 9, 2008
Exhibit opened at the Motorcycle Hall of Fame Museum.
Full Story
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