“MX Easter Camp 2010"
REGISTRATION FORM
March 28th to April 2nd
Hacienda Santa Veronica, Tecate, Baja California, Mexico

PLEASE! FILL ONE FORM PER PARTICIPANT completely in your computer, print it
a
nd SIGN the waiver and release form.
MAIL TO: Too Much Fun Promotions, P.O. Box 120089, Chula Vista, CA 91912

Name: Age:
Address:
Ste./Apt.
City:
State: Zip Code:
E-Mail:

Telephone:
Emergency Telephone:
DATE:
Sweatshirt Size:
XS   S     M     L    XL

FEES:
With Motorcycle $600

Without Motorcycle $450.

Additional Family member With Motorcycle $450.

Additional Family member Without Motorcycle $350.

 TOTAL:

 

- WAIVER AND RELEASE OF LIABILITY-
In consideration of the acceptance of my registration request and/or participation in the above Motocross Camp operated and/or under the management of Too Much Fun Promotions, the sponsors, Teachers 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 Clinic or during my travel to and from the Clinic, 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 Clinic and my physical condition have been verified by a medical doctor. I hereby acknowledge that I have sole responsibility for my personal possessions and athletic equipment during the Clinic 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 Clinic for any purposes whatsoever including broadcasts, telecasts and the press as they pertain to the Clinic. I hereby consent to receive medical treatment which may be deemed advisable during this Clinic and understand that I am solely responsible for all cost relation to medical transportation and/or evacuation. I hereby agree that if the Clinic 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 CLINIC, RIDERS MUST CARRY THEIR OWN ACCIDENT INSURANCE.

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

 

PARENTS Signature:_________________________ Date:_____________
Parent or legal guardian's signature if under 18 years of age authorizes emergency medical treatment.

Name of Rider's Insurance Company:______________________________________