Test Renewal Form

2021 MSC Season Membership Renewal

Participant Info

Rider #
Class Level
Class Level
Last Name
First Name
Date of Birth
Age What will your age be on January 1, 2021.
Address
City
State
Zip Code
Phone Your primary contact number
Email
Mailing List Do you want to receive our newsletter and occasional announcements?

Personal Info

Photo
Upload a photo of yourself. 300 pixels maximum width or height.
Parent-Guardian Full Name
Liability Waiver I hereby give up all my rights to sue or make any claim for damages due to negligence or any other reason whatsever against the Metropolitan Sports Committee, land owner, the promoters, sponsors and all other persons, participants or organizations conducting or connected with this event for injury to property or person I may suffer, including crippling injury or death, while participating in the event and while upon event premises. I know the risks of danger to myself and my property while preparing for and participating in the event and while upon the 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.
Click to make your payment with PayPal
Scroll to top