NCMX Membership – North Carolina Motocross Association

NCMX Membership is required to race at our events. AMA memberships will also required for this series and can be bought online at www.americanmotorcyclist.com

2024 North Carolina Motocross Association Membership Application

Todays Date

Riders Name(Required)

First Last

Phone

Email(Required)

Riders Date of Birth

Age

Address(Required)

Street Address City State ZIP Code

Membership payment(Required)

Venmo: @GONCMX

CashApp: $Goncmx

https://www.paypal.me/GONCMX

Membership not valid unless payment submitted. $25 Annual Membership PAYMENT INFO: Venmo: @GONCMX / CashApp: $Goncmx / Paypal: https://www.paypal.me/GONCMX

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If you are paying by paypal please select NCMX Membership type

***PLEASE READ AND SIGN BELOW: In consideration of being granted an Amateur Competition Card for North Carolina Motocross Association (referred to as NCMX Association) and in consideration of being permitted to participate as a rider or a pit crewman in Amateur events sanctioned by the American Motorcycle Association: I, for myself, my heirs, personal representatives and assigns, hereby release, discharge, and agree to hold harmless and indemnify NCMX Association, the promoters presenting sanctioned events, the owners and lessees of premises on which sanctioned events take place, the participants in sanctioned events, the owners, sponsors, and manufacturers of all equipment upon premises and the officers, directors, officials, representatives, agents and employees of all of them, of and from all liability, loss, claims, demands and possible causes of action that may otherwise accrue from loss, damage or injury (including death) to my person or property, in any way resulting from or arising in connection with, or related to, any sanction event, and whether arising while engaged in competition or in practice or preparation therefore, or while upon, entering or departing from said premises, from any cause whatsoever including without limitation the failure of anyone to enforce rules and regulation, failure to make inspection, or the negligence of other persons. I know the risk and dangers to myself and property while upon said premises or while participating or assisting in a sanction event, and I do so voluntarily and in reliance, not upon the property, equipment, facilities and existing conditions furnished by other, but upon my own judgment and ability, and I thereby assume all risk for loss, damage or injury (including death) to myself and my property from any cause whatsoever and whether not attributable to the negligence of others. I hereby acknowledge that all rights, property, and interest in any broadcast by radio, television, motion pictures or by any means of any sanctioned event at which I am present, as well as any and all receipts there from, and any transcription thereof, belong to the NCMX Association for its exclusive and unlimited use. I agree that NCMX Association or its assigns may use my name and pictures, including pictures of my racing equipment and pictures taken at any sanctioned event, for any purpose including endorsements in any media. I understand that an Amateur Competition Card is subject to American Motorcycle Association Rules for competition.(Required)

I have Read the above

NOTICE If RIDER IS UNDER 18 YEARS OF AGE - this application must bear the signature of parent or guardian which shale acknowledge a waiver and release of any and all claims such parent or guardian may have.

Signature of Guardian

Date

Signature of Rider(Required)

Date

NCMX Membership is required to race at our events. AMA memberships will also required for this series and can be bought online at www.americanmotorcyclist.com

2024 North Carolina Motocross Association Membership Application

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