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September 5th , 6th , 7th 2009
Labor Day Weekend 2009 ENTRY FORM – one per racer

 
Fields Marked by * Are Required
Transponder Required - Transponder ID# Leave blank if renting – No sharing Transponders
*First Name: *Last Name:
*Address: *City:
*State: *Zip Code:
*Phone: *DOB:
*Email: *Race #:
*Race # Choice 2: *Race # Choice 3:  
*Bike Size: *Bike Brand:
Bike Brand 2 (optional) If you have more than one bike, enter 2nd Bike Brand and Size    
*Racer’s Experience please circle one:
Beginner/Novice – Intermediate/Amateur - Expert/Pro
*Check classes competing in: -must ride in the highest classification you have competed in- see site for rules
1) 50 4-6 10) 85 A 7-15 19) 250 Lites C 28) 40C  
2) 50 7-8 11) Jr mini 7-11* 20) 250 Lites B 29) 40B  
3) 50 Open 12) Supermini12-16* 21) 250 Lites A 30) 40A  
4) 65 C 7-11 13) Girls 65 -112 9-15* 22) 450 Mx C 31) Open C  
5) 65 B 7-11 14) Women 80 - 250 12+* 23) 450 Mx B 32) Open B  
6) 65 A 7-11 15) Schoolboy 12-16 2&4stroke* 24)450 Mx A 33) Open A  
7) 65 Open 16) Youth C under 20* 25) 30C    
8) 85 C 7-15 17) Youth B under 20* 26) 30B    
9) 85 B 7-15 18) Youth A under 20* 27) 30A    
*SEE WEBSITE FOR BIKE DISPLACEMENT AND WHEEL SIZES & ALL CLASS RULES
*Pre Entry -Total of Classes x $65 Per Class-Must be received by August 19th
8/19-9/3 Post Entry, Total of Classes x $75 class
(At Track Entry Price 9/4 - $90 Per Class)
BBQ IS PRE PURCHASE ONLY BY AUGUST 19th
BBQ - $15 Adult $10 Kid
Totals will be calculated on the next page
RACE ENTRY INCLUDES ALL THREE DAYS (If you qualify into Monday) Pre-Entry is encouraged and recommended to save $ AND ensure your space - this event may be capped! Checks can be made out to WSP – Send Form to: WSP - NERC 517 Keene Rd. Winchester, NH 03470 or FX 603-239-9956 This Event is Rain or Shine - No Refunds
*Emergency Contact: Name    
*AT TRACK? YES NO
IF NO, PHONE 		   

RIDER/MINOR RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT
In consideration of being permitted to enter for any purpose this restricted area (herein defined as including but not limited to the racing track, pit areas, infield, starting area, mechanics area, walkways, grandstands, concessions and other areas appurtenant to any area where any activity, to include competition, related to this event shall take place), or being permitted to participate in any way in this event:

I/we, for myself and/or any minor participant, my personal representatives, heirs and my next of kin acknowledges, agrees, and represents that I/we have, or will immediately upon entering said restricted areas, inspect said areas and warrant that if, at any time I/we is in or about any restricted areas and I/we feel anything to be unsafe, I/we will immediately advise the officials of such and will leave the restricted areas.

I/we, for myself and/or any minor participant hereby release, waive and covenant not to sue and discharge the promoter, participants, Winchester Speedpark LLC/ WSP Holdings LLC or any subdivision thereof, track operator, officials, any persons in restricted areas, sponsors, advertisers, owners and lessees of premises used to conduct the event, and each of them, their officers and employees, herein referred to as "releasees" from all liability to the undersigned, his personal representatives, assigns, heirs, and next of kin for any loss or damages and any claim or demands therefore on account of injury, including death, to my person or property whether caused by the negligence of the releasees or otherwise while I/we is in or upon the restricted areas and/or competing, officiating, observing, working for or for any purpose participating in the event.

I/we, for myself and/or any minor participant hereby agree to indemnify and save and hold harmless the releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in or upon the restricted areas or in any way competing, officiating, observing, working for or for any purpose participating in the event whether caused by the negligence of the releasees or otherwise. I/we for myself and/or any minor participant hereby assume all risk and full responsibility for any bodily injury, death or property damage due to the negligence of releasees or otherwise while in or upon the restricted area and/or while competing, officiating, observing, working for or for any purpose participating in the event.

I/we for myself and/or any minor participant hereby expressly acknowledge and agree that the activities of the event are inherently dangerous and involve the risk of serous injury and/or death and/or property damage. I/we for myself and/or any minor participant further expressly agree that the forgoing release, waiver and indemnity agreement is intended to be as broad and inclusive as is permitted by the law of the State in which the event is conducted and that if any portion thereof is held invalid, it is agreed that the balance shall continue in full legal force and effect.

I/we for myself and/or any minor participant state that I/we have read and voluntarily signed the release and waiver of liability and indemnity agreement and further agree that no other oral representations, statements or inducements have been made. Each of the undersigned parents or legal guardians for any minor participant hereby agree to indemnify and save and hold harmless the releasees and each of them from any loss, liability, damage or cost they may incur due to the presence of the undersigned in or upon the restricted areas or in any way competing, officiating, observing, working for or for any purpose participating in the event whether caused by the negligence of the releasees or otherwise.

* I/WE HAVE READ AND ACKNOWLEDGED THE WAIVER AND I/WE HEREBY MAKE OATH AND SAY THAT TO THE BEST OF MY/OUR KNOWLEDGE AND BELIEF ALL STATEMENTS SET FORTH HEREIN ARE TRUE AND CORRECT.
This wavier is for Labor Day weekend 2009 - Before/during/after Event
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