2007 Online Snocross Entry Form

All racers are guaranteed two heats and a main event for each race date of the series.  Each race takes only one day to complete.  If you would like to race both days in a given weekend you will need to fill out an entry for each day.  

Round 1 - Saturday, December 8th
Round 2 - Sunday, December 9th
Round 3 - Saturday, December 29th

Round 4 - Sunday, December 30th

The "insurance fee" included in the entry form is is liability insurance only, we do NOT offer racer medical insurance.  This is an independent event coordinated and promoted by Fantasy Moto, LLC.  You are NOT required to have any additional memberships to compete at this event.

First Name: Last Name:
Address:
City: State: Zip:
Email:
D.O.B.(MM/DD/YYYY):
Day Phone: Evening Phone:

All entry forms must be received at the Fantasy Moto office by the Thursday  before the race weekend, no later than 5:00 CST.  We will accept entries right up to race day.  Entries received after the deadline will be charged a $10 late fee.  Please check all class(es) you are entering.

BIB(sled #)   
Race Date:  Remember each date requires a separate entry - each Saturday and each Sunday is a complete program:    
  If you are racing both days of the weekend please mark this box and you will not have to fill out a separate entry for both days.  Make sure you calculate your total $ accordingly.
Brand:
Class #1:
Class #2:
Class #3:
Class #4:

You must transfer your class total $ to the boxes below (this form does not calculate automatically.

Subtotal $ + $15 (Insurance Fee) = GRAND TOTAL $ All drivers receive free pit pass.

Cancellations must be made by phone, by 5:00 PM the Thursday before the event by calling 920-419-2863 .

There will be a cancellation fee equal to 20% of your grand total for ALL cancellations.

Credit Card (check one): Master Card Visa
Credit Card #: There is a seven digit code on the back of your card.  We must have the last three digits to process your entry. 
Expiration Date (MM/DD): Billing address zip code of credit card:
I authorize Fantasy Moto, LLC to charge my credit card in the amount of $(same as Grand Total)
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 have or will immediately upon entering any of such RESTRICTED AREAS, and will continuously thereafter inspect the RESTRICTED AREAS which he enters, and he further agrees and warrants that, if at any time, he is in or about RESTRICTED AREAS and he feels anything to be unsafe, he will immediately advise the officials of such and if necessary will leave the RESTRICTED AREAS and/or refuse to participate further in the EVENT(S).

2.        HEREBY RELEASES, WAIVES, DISCHARGES AND COVENANTS NOT TO SUE FANTASY MOTO, LLC, the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, car owners, officials, 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 events 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 ALL 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 THEREFOR ON ACCOUNT OF 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. 

3.        HEREBY AGREES TO INDEMNIGY AND SAVE AND HOLD HAMRLESS the Releasees  and each of them FROM ANY LOSS, LIABILITY, DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) shether caused by the negligence of the releasees or otherwise. 

4.        HEREBY ASSUMES FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE arising out of or related to the EVENT(S) whether caused by the NEGLIGENCE OF RELEASEES or otherwise.

5.        HEREBY acknowledges that THE ACTIVITIES OF THE EVENT(S) ARE VERY DANGEROUS and involve the risk of serious injury and/or death and/or property damage. Each of THE UNDERSIGNED, also expressly acknowledges that INJURIES RECEIVED MAY BE COMPOUNDED OR INCREASED BY NEGLIGENT RESCUE OPERATIONS OR PROCEDURES OF THE RELEASEES. 

6.        HEREBY agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the Releasees, INCLUDING NEGLIGENT RESCUE OPERATIONS and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect.

7.        HEREBY agrees that photographers, video productions and telecasts may be made of the undersigned either alone or together with others, during the race event or at such times or places as Fantasy Moto, LLC and or affiliate shall designate. The undersigned agrees that all rights in such photographers, video productions, and telecasts including,, but not limited to, rights of sale, reproduction, use and distribution, shall belong to Fantasy Moto, LLC and/or affiliate, its successors and assigns the non-exclusive right to use the undersigned’s name or likeness for any and all commercial benefit and purpose, without limitation.

8.        HEREBY agrees to indemnify and hold harmless Fantasy Moto, LLC and/or Fantasy Moto, LLC affiliate, and their respective agents, licensees, employees, successors and assigns from and against all claims, liability, loss or expense, including reasonable attorney’s fees, which may result from the use of the above.

9.        HEREBY agrees that no good, item, or product (“Product”) of any form or type shall be conveyed, distributed, handed out, gifted, or given away without a charge reasonably related to the value of the Product to any other Fantasy Moto, LLC member, patron, or guest without the prior written consent of Fantasy Moto, LLC. 

 

     I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME AND INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW.

   All drivers must check-in at registration the weekend of the event.  You will not be allowed to race if Fantasy Moto, LLC does not have a signed copy of this waiver prior to the event.  All drivers under 18 must have a parent or legal guardian present at driver check-in to sign the waiver forms.

 

Driver Name: Parent/Guardian (if driver is under 18):