2021 MSC Season Membership Renewal
Participant Info
Rider # | |
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Class Level |
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Last Name | |
First Name | |
Date of Birth | |
Age | What will your age be on January 1, 2021. |
Is this rider an Adult or Minor as of January 1st in new race season? | Select one |
Address | |
City | |
State | |
Zip Code | |
Phone | Your primary contact number |
Mailing List | Do you want to receive our newsletter and occasional announcements? |
Advanced by AMA to: | Use this to store advancement data from the AMA Advancement Report. |
Personal Info
Photo |
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Website, Blog or Social Media Link |
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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 |
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