COAST 2 COAST UTV RIDE MAY 5-7, Rosarito Beach a San Felipe, Baja California Mexico

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Llena esta forma completamente en tu computadora, Imprimela y FIRMA el Desligue de Responsabilidades. Luego mándala por correo convencional con tu Cheque de Banco Americano o Money Order a:
Too Much Fun Promotions,
P.O. Box 120089, Chula Vista, CA 91912-3189

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CUOTAS DE INSCRIPCION

PREMIER #1 (checa nuestra pagina para ver lo que incluye)
$519 Dllrs.  $499 Dllrs. antes de Dic. 2, 2010

PREMIER #2 (checa nuestra pagina para ver lo que incluye)
$489 Dllrs. $439 Dllrs. antes de Dic. 2, 2010

PREMIER #1 (checa nuestra pagina para ver lo que incluye)
$449 Dllrs. $399 Dllrs. antes de Dic. 2, 2010

ECONOMICO #1 (checa nuestra pagina para ver lo que incluye)
$349 Dllrs. $289 Dllrs. antes de Dic. 2, 2010

ECONOMICO #2 (checa nuestra pagina para ver lo que incluye)
$299 Dllrs. $249 Dllrs. antes de Dic. 2, 2010

ECONOMICO #3 (checa nuestra pagina para ver lo que incluye)
$249 Dllrs. $199 Dllrs. antes de Dic. 2, 2010

"2011 BAJA COAST 2 COAST UTV RIDE, Rosarito Beach to San Felipe, Baja California Mexico, May 5-7, 2011
-WAIVER AND RELEASE OF LIABILITY-
In consideration of the acceptance of my registration request and/or participation in the above event operated and/or under the management of Too Much Fun Promotions, the sponsors, and/or contract entities, I hereby release all liability from said parties and I assume all liability for any and all claims and actions of any kind for personal injuries and/or property damage which i may cause or sustain during the event or during my travel to and from the event, and I agree to pay any and all costs including attorney's fees that may be incurred by the above entities as a result of any such claim. I attest and verify that I am in good health and that I am adequately trained to participate in this type of event and my physical condition has been verified by a medical doctor. I hereby acknowledge that I have sole responsibility for my personal possessions and athletic equipment during the event or its related activities, I hereby grant to any and all of the foregoing to use any photograph, videotape, motion picture or any other record of this event for any purposes whatsoever including broadcasts, telecasts and the press as they pertain to the event. I hereby consent to receive medical treatment which may be deemed advisable during this event and understand that I am solely responsible for all cost relation to medical transportation and/or evacuation. I hereby agree that if the event is canceled due to storm, rain, inclement seas or weather, wind or other "act of god" conditions, my entry fee shall be nonrefundable. I understand that all entry & t-shirt are nonrefundable-. I also understand that my entry is nontransferable. I also agree that any legal claim, can only take action in the State of Baja California, Mexico.
I FURTHER FULLY UNDERSTAND THAT THERE IS NO RIDER INSURANCE PROVIDED FOR THIS EVENT, RIDERS MUST CARRY THEIR OWN ACCIDENT INSURANCE.

I have read and fully understand and agree to this release, waiver and indemnification form.
Signature:_____________________________________

Date:______________

Name of Rider's Insurance Company:______________________________________
Parent or legal guardian's signature if under 18 years of age authorizes emergency medical treatment.