5/28/2019
Five Flags Speedway
Form for Kids Bike Race Registration
Print out, fill in, and being with bike, helmet and rider age 12 and under.
No entry fee. Bring signed form to track before 7:30pm on June 7th
All kids receive a trophy and an ice cream.
Bike Race Entry Form
Name_______________________________________________________
Address _____________________________________________________
City,State___________________Zip______________________________
Age:____________________
# Assigned by Track:_____Age Group Assigned To:
In Consideration of my minor child being permitted to participate
In any way in the Event(s) and/ or being permitted to enter for any
Purpose any Restricted Area(s) (defined to be any area which
Requires special authorization, credentials or permission to enter or any area to which admission by the general public is restricted or
Prohibited).
I HEREBY RELEASE, DISCHARGE AND COVENANT NOT TO SUE
The promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners 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).
I HAVE READ THIS RELEASE:
_______________________________________________________________________
Signature of Parent or Legal Guardian Print Name Date
KIDSBIKERACEREGISTRATIONFORM19
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