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

READ FORM COMPLETELY.

Rider Number Fee is $20
There is an additional processing fee of $1.00 for this online service. 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 Sections, read and accept the Release, PRINT Youth Forms, then Submit, Print receipt if you wish, next the PayPal form starts the PayPal Process.

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

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 and any notarized forms must be MAILED into the ECEA or presented at Sign up. The Forms are listed 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
New Application Renewal Number only *   * I will use another series transponder, 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 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

YOUTH   PEE WEE  
       
AA Youth    
12-15, 0-100cc 2 strk, 150R 4 strk, Big Wheel 7-9, 65cc 2 stroke
14-15, 0-85cc 2 strk, 150R 4 strk 4-8, 0-51cc 2 stroke
12-13,  0-85cc 2 strk, 150R 4 strk 10-12 EL, Entry Level 0-110cc
10-11, 0-85cc 2 stroke 7-9 EL, Entry Level 0-110cc
13-15, 0-150 4 strk, Must be 12 for a 150cc 4-8 0-51cc Oil Injected / XR50
10-11, 65cc 2 stroke    
10-12, 0-125cc 4 stroke    
10-UP, EL Women, Any youth Bike, 230cc 16+    

Please Read this Release and Indemnity Agreement for AMA and ECEA Sanctioned Events.

2008 ECEA Minor Release and Indemnity Form – AMA Sanctioned Events

I hereby release, discharge, covenant, Not to sue or make any claim whatsoever against the American Motorcycle Association and its districts organizations, the American All Terrain Association, the promoters, sponsors and all other persons or organizations conducting or connected with this event for a injury to property or persons or my minor may suffer, including injury or death, whether such injury arises while I or my minor are preparing for or my minor’s participating in the event or while I or my minor are upon the event.
I know the risks of danger to my minor and my property whom is participating in the event and while upon the event premises and relying upon my own judgment and my minor’s ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with this event for damages incurred as a result of any injury that I or my minor may cause or receive.  I agree to instruct my minor of the said dangers of his/her participation and will withdraw their participation if they feel unsafe I any way during the event or while on the premises.
I understand that ECEA events are subject to AMA rules. It is understood and agreed that in the event that if my minor is injured from whatsoever cause during an event authorized and operated under AMA/ECEA rules, I herewith consent to and authorized first aid and ambulance service as provided by the sponsoring club or property owners, and further to hold all parties harmless from any consequences of said aid.



FILL IN FATHER NAME or GUARDIAN         Fill in Mother's Name   

YOUTH ASSUMPTION OF RISK at ECEA Events – Minor is to Read and sign

Rider Should Type his Name in this Box  

By checking this box     and proceeding to submit this form:
I have accepted this MINOR Release and Indemnity Agreement 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/PRINT these forms MINOR RELEASE and SPORTSMAN PLEDGE
THEN  Mail to: ECEA Youth, 986 Silver Lake road, Lewisberry PA 17339 or Take them to the next event.
 

 Press Submit to Continue to Pay Pal Transaction Page.

  Press Cancel to decline and Cancel this online application.  

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