BRANSON USA
2008 OFFICIAL ENTRY FORM

PLEASE TYPE INFORMATION, PRINT AND SIGN. MAIL BY 9-20-08

INSERT BIKE
NO. BELOW

NAME:

ADDRESS:

PEE WEE

JR. CYCLE

CITY:

State:

Zip Code:

MINICYCLE

PHONE

EMAIL

MOTORCYCLE

BIRTH DATE

AGE

AGE CLASSES ARE AS OF 10-9-08 (EVENT FIRST DAY)

ENTRY FEE: THE ENTRY FEE FOR ALL CLASSES WILL BE $70.00 PER CLASS PER ENTRY

NMA

GNC

AMA

I HAVE A 2008 LICENSE FOR

(IF NO LICENSE, ADD $5.00 TO ENTRY
FEE FOR EACH CLASS ENTERED)

POST ENTRY FEES: ALL ENTRIES NOT POSTMARKED BY 9-20-08 WILL BE SUBJECT TO $95.00 POST ENTRY FEE AT THE EVENT

NO RIDER MEDICAL INSURANCE PROVIDED

CHECK BIKE BRAND YOU ARE RIDING

*NO BIG WHEELS ALLOWED IN THESE CLASSES

SUZ

KAW

YAM

KTM

HON

HUSQ

COB

POL

OTHER

MARK CLASSES YOU ARE RIDING (10 REQUIRED TO MAKE A CLASS) AGE CLASSES: AS OF 10-9-08

PEE WEE STK 4-6

85/150 STK 14-16

450 NOVICE (C) STK

PEE WEE MOD 4-6

85/150 MOD 14-16

450 NOVICE (C) MOD

PEE WEE STK 7-8

85/150 OPEN THRU 16*

450 OPEN (NON PRO)

PEE WEE MOD 7-8

SUPER MINI MOD THRU 16

GIRLS 65-85cc THRU 16*

SUPER PEE 6-9

150 4-STROKE ONLY*

WOMEN 125-250cc NON PRO

65 JR CYCLE STK 6-8

250 PRO (A)

125 2-STROKE ONLY NON PRO

65 JR CYCLE MOD 6-8

250 INTER (B) STK

250 2-STROKE ONLY NON PRO

65 JR CYCLE STK 9-11

250 INTER (B) MOD

 
250 4-STROKE ONLY NON PRO

65 JR CYCLE MOD 9-11

250 NOVICE (C) STK

PLUS 25

65 JR CYCLE OPEN THRU 11

250 NOVICE (C) MOD

PLUS 30

85 STK THRU 11

250 OPEN (NON PRO)

PLUS 30 (A)

85 MOD THRU 11

450 PRO (A)

PLUS 35

85/150 STK 12-13

450 INTER (B) STK

PLUS 40

NOTE:
PLUS CLASSES PRACTICE AND RACE ON SUNDAY ONLY.

85/150 MOD 12-13

450 INTER (B) MOD

PLUS 50

PRE ENTRY DEADLINE: SEPT. 20, 2008
MAIL ENTRIES WITH CASHIERS CHECK OR MONEY ORDER PAYABLE TO BRANSON USA
(U.S. FUNDS ONLY) MAIL TO:
BRANSON USA
PO BOX 891299
TEMECULA, CA 92589

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in the EVENT (S) or being permitted to enter for any purpose any RESTRICTED AREA (defined as any area requiring special authorization, credentials, or permission to enter or any area to which admission by the general public is restricted or prohibited), EACH OF THE UNDERSIGNED, for himself, his personal representatives, heirs and next of kin:
 
1. Acknowledges, agrees, and represents that he has or will immediately upon entering any of such RESTRICTED AREAS, and will continuously thereafter, inspect the RESTRICTED AREAS and/or refuse to participate further in the EVENT(S).
2. HEREBY RELEASES WAIVES, DISCHARGES AND COVENANTS NOT TO SUE the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons in any RESTRICTED AREA, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the EVENT(S), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions or instructions or engage in risk evaluation or loss control activities regarding the premises or EVENT(S) and each of them, their directors, officers, agents and employees, all for the purposes herein referred to as "Releasees,", FROM LIABILITY, TO THE UNDERSIGNED, his personal representatives, assigns, heirs, and next of kin FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS THERFOR ON ACCOUNT ON INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO THE EVENT(S), WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE.
 
I HAVE READ THE ABOVE ASSUMPTION OF RISK ACKNOWLEDGMENT, UNDERSTAND WHAT I HAVE READ AND SIGN IT VOLUNTARILY.
 
___________________________________________ DATE _____________
Rider's Signature
 
___________________________________________ DATE _____________
Parent or Legal Guardian's Signature
(if under 21)