2010 AMA GUNSTOCK HILL CLIMB Pre-entry Form
Hosted by Ridge Runner Promotions
&
Gunstock Ski Area
Please Print June 16
Name_____________________ AMA#______________ Exp.____________ District________ Rider #___________
Address___________________ City_________________ 1)Disp._______ Brand________ Rider #___________
State____________ Zip___________ 2)Disp________Brand________ Rider #___________
Email________________________ Phone_______________ 3)Disp________Brand________
Age________ Date of Birth_____________ Club Charter#8592
THIS IS A RELEASE AND INDEMNITY AGREEMENT READ BEFORE SIGNING
PLEASE BE SURE TO SIGN THIS
I hereby give up all my rights to sue or make any claim for damage due to Classes
Negligence or any other reason whatsoever against the American Motorcyclist Check all that apply
Association All Terrain Vehicle Association and their respective district ___50cc
Organizations , the promoters , sponsors , and all other persons , participants ___85ccjr
Or organizations conducting or connected with this event for injury to property ___85ccsr
Or person I may suffer , including crippling injury or death , while participating in ___125cc
The event and while upon the premises . I know the risks of danger to myself ___200cc
And myself and my property while preparing for and participating in the event ___250cc
And while the event premises and , relying upon my own judgment and ability ___450cc
Assume all such risks of loss and herby agree to reimburse all costs to those ___600cc
Persons or organizations connected with this event for damages incurred as ___600/4
A result of my negligence ___womens
___750cc
______________________________________ ___open
Signature of participant ___Over40
___50+
______________________________________ ___250atv
Signature of parent ___open atv
___30+atv
_____________ Date ___450&up single cylinder
___600&up multi cylinder
**TECH INSPECTION TUESDAY 8AM - 4PM** ___ sleds
**MANDATORY RIDERS MEETING WEDNESDAY 8am** 25$ 1st class inclds gate fee$__________
- - Maximum 400 entries-Must be 3 riders to make class 10$ 2nd & 3rd class each$_____________
- - Please make checks payable to Ridge Runner Promotions Total $___________________
Mail check along with completed form to: Please fill in Yrs of Hill climbing
Ridge Runner Promotions Sponsors , Accomplishments
P.O box 325 If u would like your info
Micheal Farnsworth 1-603-523-9859
Canaan N.H 03741 announced please fill in
_____________________________________________________________________________________________________
Name ____________________ Class____________________________ Machine_______________Riders #________
Yrs of Hillclimbing___________ Accomplishments___________________________________________Riders #________
__________________________________________________________________________________Riders #________
_____________________________________________________________________________________________
Hosted by Ridge Runner Promotions
&
Gunstock Ski Area
Please Print June 16
Name_____________________ AMA#______________ Exp.____________ District________ Rider #___________
Address___________________ City_________________ 1)Disp._______ Brand________ Rider #___________
State____________ Zip___________ 2)Disp________Brand________ Rider #___________
Email________________________ Phone_______________ 3)Disp________Brand________
Age________ Date of Birth_____________ Club Charter#8592
THIS IS A RELEASE AND INDEMNITY AGREEMENT READ BEFORE SIGNING
PLEASE BE SURE TO SIGN THIS
I hereby give up all my rights to sue or make any claim for damage due to Classes
Negligence or any other reason whatsoever against the American Motorcyclist Check all that apply
Association All Terrain Vehicle Association and their respective district ___50cc
Organizations , the promoters , sponsors , and all other persons , participants ___85ccjr
Or organizations conducting or connected with this event for injury to property ___85ccsr
Or person I may suffer , including crippling injury or death , while participating in ___125cc
The event and while upon the premises . I know the risks of danger to myself ___200cc
And myself and my property while preparing for and participating in the event ___250cc
And while the event premises and , relying upon my own judgment and ability ___450cc
Assume all such risks of loss and herby agree to reimburse all costs to those ___600cc
Persons or organizations connected with this event for damages incurred as ___600/4
A result of my negligence ___womens
___750cc
______________________________________ ___open
Signature of participant ___Over40
___50+
______________________________________ ___250atv
Signature of parent ___open atv
___30+atv
_____________ Date ___450&up single cylinder
___600&up multi cylinder
**TECH INSPECTION TUESDAY 8AM - 4PM** ___ sleds
**MANDATORY RIDERS MEETING WEDNESDAY 8am** 25$ 1st class inclds gate fee$__________
- - Maximum 400 entries-Must be 3 riders to make class 10$ 2nd & 3rd class each$_____________
- - Please make checks payable to Ridge Runner Promotions Total $___________________
Mail check along with completed form to: Please fill in Yrs of Hill climbing
Ridge Runner Promotions Sponsors , Accomplishments
P.O box 325 If u would like your info
Micheal Farnsworth 1-603-523-9859
Canaan N.H 03741 announced please fill in
_____________________________________________________________________________________________________
Name ____________________ Class____________________________ Machine_______________Riders #________
Yrs of Hillclimbing___________ Accomplishments___________________________________________Riders #________
__________________________________________________________________________________Riders #________
_____________________________________________________________________________________________
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Please fill in all that applies also if you
would like sponsors announced fill in
bottom of app. The two classes at
bottom of list are a pro-am class
paddle tire and fuel.
would like sponsors announced fill in
bottom of app. The two classes at
bottom of list are a pro-am class
paddle tire and fuel.
WE WILL BE ADDING 2 NEW CLASSES THIS YEAR
THIS WILL BE THE PRO STEP-UP CLASS. Classes will consist of 450 single cylinder
deem fit .
THIS WILL BE THE PRO STEP-UP CLASS. Classes will consist of 450 single cylinder
deem fit .