2008 MEMBERSHIP APPLICATION

                                         AMA DISTRICT #18 CLUB COUNCIL

                                     12632 Dry Creek Rd

                                                                                    DeSoto, MO 63020

                                             314-610-8564               

 

 

 

         DISTRICT 18 RACING                             

                             

DATE:_____________

 

NAME:__________________________________________________________________________

                    FIRST                                                   MI                                                             LAST

 

ADDRESS:_________________________________________________________________  

 

CITY:_________________________     STATE:_______                      ZIP:______________               PHONE:_______________________

 

AGE:_____DATE OF BIRTH:___________  RIDERS UNDER THE AGE OF 18 MUST PROVIDE A COPY OF BIRTH CERTIFICATE

 

AMA CARD NO:________________      EXPIRES:__________  DISTRICT 18 NUMBER DESIRED:1st choice_______  2nd choice_______  3rd choice______

 

Cost is $5.00 per card (MX or TT), unlimited classes.  Make check payable to: District #18 Club Council

_______________________________________________________________________________________________________________________________________

MOTOCROSS

Minicycle

50cc Stock JR (4-6)                      85cc JR (9-11)

50cc Stock SR (7-8)                      85cc SR (12-15)

65cc JR (7-9)                                 Girls 9-15 (79-105cc)       

65cc SR (10-11)                             Super-Junior 9-11 (79-85cc Big Wheel OK)          

65cc Open 7-11                             Super-Mini 12-16 (79-112cc & 150 4stk)

                                                                                                                                                                                                                               

Motorcylce (51” Wheelbase Minimum)

Women (99-250cc)  

Schoolboy 12-16 (86cc-125cc 2stk & 150 4stk.  All bikes must be Big Wheel Setup)        

 

Motorcycle (53” Wheelbase Minimum)

+25A (122-Open)          Schoolboy 14-16 (126-250cc)

+30A (122-Open)          14-24 (122cc-open)         

+35A (122-Open)           250 A                                250 B                                250 C     (All 250 Classes are 122-250cc 2stk or 4stk)
+40A (122-Open)          Open A             Open B             Open C  (All Open Classes are 122cc-Open 2stk or 4stk)

+45A (122-Open)          4 Stroke (250cc-open)                       

 

ATV

ATV - A       ATV - B      ATV - C

 

T.T. SCRAMBLES

50cc Shaft 4-8                                60cc                 125B                 OPEN B                             VINTAGE 00-74

50cc  4-6                         80cc                 125C                 OPEN C                             VINTAGE 75-80  

50cc 7-8                           EXPERT            250B                 4 Stroke                           VINTAGE 81-85

XR 50 4-11                       +25                                    250C                 250 4 Stroke                   Super-Mini 7-15 (0-105cc)

Women                            +40                                                                                                    “C” Class Tires                                        

               

ATV OPEN A                                    ATV 4 Stroke                                                  ATV 50cc Production (4-8)         

ATV OPEN B                                    ATV Women                                                    ATV 70cc Production (6-11)

ATV 250A                                         ATV 200-300 Production (13-15)               ATV 90cc Production (8-15)

ATV 250B                                         ATV 200-300 (+ 16)                                       ATV 90cc Supermod (8-15)

_______________________________________________________________________________________________________________________________________

 

I hereby give up all rights to sue or make any claim for damages due to negligence or any other reason whatsoever against the American Motorcyclists Association and it’s District Organizations, the promoters, sponsors and all other persons connected with an event I may suffer, including but not limited to crippling injury or death, while participating in the event or while upon event premises.

I know the risks of danger to myself and my property while participating in the event and while upon event premises and relying

upon my own judgement and ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with these events for damages incurred as a result of my negligence.

 

HAVE YOU COMPLETELY READ THIS APPLICATION?_______________________________________________________

Riders Signature