Shannon Niday MX School Entry Form

Name______________________________________ Age______ Phone____________________


Address_______________________________________________________________________


Email_____________________________________________ Bike Size_____________________


I hereby declare that it might be my intent while at this motocross school to ride at high speeds and to test my riding skills and to check the performance of the vehicle I am riding.

I affirm that I am going to engage in these potentially dangerous activities of my own volition.  I hereby affirm that I enter this school fully aware of the possible hazards to my person and my property therein.  If I am injured, in any manner, while I am in the school, or on school grounds, I will grant full and unconditional release for any injuries sustained to my person, to all track owners, participants, officials, employees, promoters, instructors, or any others who are responsible for the activities in the school.

On behalf of heirs, my executors, administrators, or myself, I agree to hold harmless and indemnify all track owners, participants, officials, employees, promoters, instructors, or others who are responsible for the activities in the school for any damages or injury to my person or property.

PLEASE READ THE ABOVE CAREFULLY BEFORE SIGNING UP FOR THE SCHOOL.
I HAVE READ THIS ENTRY FORM AND FULLY UNDERSTAND THE WAIVER.

I hearby understand there are no refunds on deposits unless class is canceled on the Paypal page

Rider's Signature_________________________________________________ Date____________


Parent's Signature________________________________________________ Date____________


Class you are attending____________________________________________________________

  • The deposit for a 2 day group class is $50 and the 3 day camp is $100.  Deposits are nonrefundable.
  • Payment Methods: Cashiers Check, Cash, Money Order.  Payable to Shannon Niday.