2008 ECEA Adult Harescramble  -  ONLINE Application for Riders Number
Series riders Only. Day Riders must Apply for Rider Number at the Event.

There is an additional processing fee of $1.00 for this online service. Rider Number Fee is $20 Total PayPal Charge will be $21.

If you do not want the ECEA transponder please check the box "Number Only". Cost is still $20. This covers reflashing.
A rider that wishes to use a Transponder from another series can do so as long as it can be re flashed with ECEA information at sign up.
We advise riders to Apply for our unit and avoid the hassle of re flashing it before every event or waiting in line on race day.

Fill out the ECEA Section, read and accept the Release Section, then Submit, Print receipt, next the PayPal form starts the PayPal Process.

ALL FIELDS ARE REQUIRED TO BE FILLED OUT.

Name: First, MI, Last
Address
City State ZIP
Phone Number Emergency Contact and Number
E-Mail Age Date of Birth

PLEASE NOTE: You must be 18 years of age or older to use this online form.
If you are under 18 and ride the Adult Classes please download Rider Application form and the AMA Minor Release.


Machine AMA Number AMA Expires
ECEA Number Club Name

New Application Number only *   * I will use another series transponder, Your Transponder must be compatible. Contact ScoreKeeper

Rider Numbers will be based on the order they are received. Last Year numbers will be honored when possible up to February 2008, we will continue to assign requested numbers as they remain available. Numbers from 1 thru 15 are reserved for the Top 15 overall riders from the 2007 season.
Enter Your Choices Below
. up to 4 numbers only. For Example: 007, 1277, 099, 1999

1st choice 2nd choice 3rd choice

IMPORTANT !!! Once you are assigned a number, you must mark your number plates in accordance with ECEA Rules.
The proper number plates will assist in identifying your bike to the race officials and scoring personal. Clubs are being urged to enforce this for all riders. New riders or day riders will be given a temporary sticker at signup.


Choose your Riding Class - SELECT ONE

AA
A 0-200 B 0-200 C 0-200
A 201-Open B 201-Open C 201-Open
A 4-Stroke B 4-Stroke C 4-Stroke
A Vet B Vet C Vet
A Senior B Senior C Senior
A Super Senior B Super Senior
Women Golden Masters Masters


Please Read this Release and Indemnity Agreement for AMA and ECEA Sanctioned Events. This applies to Persons 18 years of age or older.

IN CONSIDERATION of being permitted to compete, officiate, observe, work for, or participate in any way in the ECEA 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 ECEA EVENT(S).

2.  HEREBY RELEASES, WAIVES, DISCHARGES, AND COVENANTS NOT TO SUE the promoters, ECEA, participants, racing associations, sanctioning organizations ECEA Clubs or any subdivision thereof, track operators, track owners, officials, motorcycle owners, riders, 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 event 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 THEREFORE 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 INDEMNIFY AND SAVE AND HOLD HARMLESS the Releases and their insurance carrier, and each of them FROM ANY LOSS, LIABILITY DAMAGE, OR COST they may incur arising out of or related to the EVENT(S) WHETHER 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 ECEA 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. IF, DESPITE THIS RELEASE. I OR ANYONE ON MY BEHALF MAKES A CLAIM AGAINST THE RELEASEES NAMED ABOVE I AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS THE RELEASEES AND THEIR INSURANCE Carrier, AND EACH OF THEM FROM ANY LITIGATION EXPENSES, ATTORNEYS’ FEES, LOSS, LIABILITY DAMAGE, OR COSTS THEY MAY INCUR DUE TO THE CLAIM MADE AGAINST ANY OF THE RELEASEES NAMED ABOVE, WHETHER THE CLAIM IS BASED ON THE NEGLIGENCE OF THE RELEASEE OR OTHERWISE.

7. Hereby agree that in the event that I sustain any injury white in any Restricted Areas that any rescue personnel or medical personnel may release such medical information about my condition to representatives of the promoter, sanctioning organization, track operator, or trackowner, as necessary to allow such individuals to properly report that information to appropriate representatives of the sanctioning organization and/or insurance carriers.

8. 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.

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.

By checking this box     and proceeding to submit this form, I have accepted this Release and Indemnity Agreement in lieu of my signature. I am at least 18 year old.


 Press Submit to Continue to Pay Pal Transaction Page.

  Press Cancel to decline and Cancel this online application.   Return to ECEA Home Page