ECEA   CHAMPIONSHIP   SERIES      

ECEA YOUTH Harescramble ONLINE Application for Rider Number and Transponder
Series riders Only. Day Riders must Apply for Rider Number at the Event. Day Rentals are $10 plus a $20 refundable deposit

READ FORM COMPLETELY.

2010 Rider Number Renewal Fee is $20 You must have an ECEA Transponder to race
New riders in need of a Transponder for the 2010 Series, the Fee is $30
Anyone riding more than 2 ECEA Hare Scrambles should purchase a transponder and yearly number instead of renting a daily unit.

A rider can use a Transponder from another series as long as it can be re flashed with ECEA information. Check with sign up or scoring.
We advise all riders to Apply for our unit and avoid the hassle of re flashing the transponder before every event or waiting in line on race day.

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

PARENTS PLEASE FILL OUT THIS FORM.   ALL FIELDS ARE REQUIRED TO BE FILLED OUT.

SELECT only ONE  New Application Renewal  
Rider's Name: First, MI, Last Parents Name:
Address
City State ZIP
Phone Number Emergency Contact and Number
E-Mail Age Date of Birth

PARENTS and YOUTH RIDER, You must read and agree to all waivers as listed at the end of this form. It is IMPORTANT that a Copy of the rider's Birth Certificate is on file with the ECEA and any notarized forms are MAILED into the ECEA or presented at Sign up.
The Forms are listed Below for Download
If the forms are not on file with the ECEA you may jeopardize your  rider's year end points and/or the privilege to ride an ECEA event.

Machine Make/CC AMA Number AMA Expires

Rider Numbers will be based on the order they are received. Last Year numbers will be honored when possible up to February 1, 2010, we will continue to assign requested numbers as they remain available. Numbers from 1 thru 15 are reserved for the Top overall riders from the 2009 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 enforcing this for all riders. New riders or day riders will be given a temporary sticker at Signup or Tech.

Choose your Riding Class - SELECT ONE                         NEW CLASSES  Choose correctly.

  YOUTH     PEE WEE
14-15, 0-112cc 2 strk, 150R, Big/Small Wheel. SuperMini *   4-7 50cc Oil Injected / Air Cooled / PW / XR50
12-13, 0-112cc 2 strk, 150R, Big/Small Wheel. SuperMini *   5-8, 50cc Super (Ktm50LQ, Cobra50)
13-15, 0-85cc 2 strk small wheel *   7-9, 0 - 65cc 2 stroke Air/Liquid cooled
10-12, 0-85cc 2 strk small wheel *   7-10 Trail  0-110cc 4 strk, 0-80cc 80cc Multi-speed Auto
10-11, 0-65cc 2 stroke      
11-15, 0-150 4 Stroke Air Cooled 150F TTR/DRZ125      
11-15 Girls any AMA Legal Mini      
   * updated for 2010       
  Must be 15 years old or less before the 1st of the new year to run  Youth classes. See Rule Book.      

 Riders must agree to Download, Sign and Agree to all AMA Liability Waivers. Follow links listed below for waiver information

Rider Should Type his Name in this Box  

By checking this box     and proceeding to submit this form:
I have agreed to signing and filing the above information in lieu of my signature. As the Parent and/or Guardian, I/we have discussed this form with our rider.
I am at least 18 year old and the Parent and/or Guardian of named rider. The named rider agrees that he/she has read and discussed this form with his/her parents or legal guardians named withim.

REMEMBER TO DOWNLOAD/PROCESS/PRINT these forms AMA Release and SPORTSMAN PLEDGE in addtion to using this form
Fill out, then  Mail to: ECEA Youth, c/o Lisa Soudas, 341 Main St, Dupont, Pa 18641 or Take them to the next event.
 

 Press Submit to ACCEPT this application then Continue to Pay Pal Transaction Page.

  Press Cancel to decline and Cancel this online application.  

RETURN  to ECEA Home Page