Idaho Old Timers Membership

IDAHO OLD TIMERS MEMBERSHIP

Application for 2016

MEMBERSHIP IS $10.00 FOR THE 2016 RACING SEASON

NAME (PLEASE PRINT):______

MAILING ADDRESS: ______

CITY:______STATE:______ZIP______

AGE:______BIRTHDATE:______

CLASS:______RACE #:______

ASSUMPTION OF RISK AGREEMENT

I hereby acknowledge that I am aware of the dangers incident to Oldtimers events and knowingly enter these events with said knowledge. I further acknowledge the risk of injury to my person or property while participating in or watching motorcycling events and am aware that injuries sustained by me could be of a permanent or in grave nature and I, nevertheless, voluntarily and knowingly will enter in said events.

I further acknowledge that during the course of said events, there may be times of which though not actively participating in said event, I may be a spectator and that I may sustain permanent or grave injuries as a spectator and I, voluntarily and knowingly assume such risk.

I further agree that I will not sue or make claim against any participants, spectators, Old Timers Clubs and its members whatsoever no matter what injuries I may sustain either as a participant or spectator.

I have read the assumption agreement and agree to the above conditions.

Racer’s Signiture:______Age:______Date:______

Make check payable to: IDAHO OLDTIMERS

Mail to: Mike Robinson

4917 S. Powerline Rd.

Nampa, ID 83686

Classes

Novice Class 40 – 49 years Expert Class 40 – 49 years

50 Novice Class 50 – 59 yeas 50 Expert Class 50 -59 years

60 Novice Class 60 years and older 60 Expert Class 60 years and older

70 Novice Class 70 years and older 70 Expert Class 70 years and older

Amateur Class 40 – 49 years Master Class 40 Years and older

50 Intermediate Class 50 – 59 years 40 years and older

60 Intermediate Class 60 years and older 60 Master Class 60 years and older

70 Intermediate Class 70 years and older 50 Master Class 50 years and older

75 and older 80 and older