I, the undersigned, state that I have received, have read and understand completely the rules and regulations issued for this event and agree to be bound by them. I fully understand that motorcycle track riding is a dangerous activity and that injury or death could result from this activity.

In consideration of my entry and my being permitted to take part in this event, I for myself, my heirs, executors, administers, successors and assigns agree to save harmless and keep indemnified, Pro 6 Cycle Inc. and it’s officials, agents officers, employees or any other person for whom Pro 6 Cycle Inc. is legally responsible, CMRC Insurance Brokers and its officials, the other participants and their invitees, helpers and their respective agents (as the case may be), the owners or lessees of any land used for the event and their respective officials, servants, representatives or agents from and against all actions, claims, cost and demands, court actions, legal actions in respect of injury, death, loss of or damage to my person or property, however caused, without limitation loss of or damage to my person or property, however caused arising out of or contributed to or occasioned by the actions or negligence of the same bodies, their officials, servants, representatives, or agents and that I am fully responsible for my actions, property and conduct. [initials]
I declare that I will attend all meetings called by Pro 6 Cycle Inc. prior to and during the event as deemed necessary by them and will abide by all instructions proclaimed at such meetings. I agree that Pro 6 Cycle Inc. and it’s officials or agents shall place safety barriers and other safety devices at various locations in or upon the facility as they deem necessary and I agree that these safety barriers and other safety devices are placed in a correct manner.

I declare that I have chosen the correct class to participate in according to my competence to ride safely in that chosen class. I understand that Pro 6 Cycle Inc., its officials or officers can remove me from that class, place me in another class with my agreement or suspend my riding privileges at their sole and complete discretion.
I declare that I posses the standard of competence and health necessary to participate in the event contemplated by this agreement and that the motorcycle entered is suitable, safe and roadworthy for an event of this type having regard to the course and speeds that will be reached. I will duly report, in writing, any and all health issues associated with participating in this event to Pro 6 Cycle Inc. prior to taking part in the event.

I declare that I have inspected and I am familiar with the layout of the track and the safety devices and barriers placed thereon.

I declare that I understand that the event could be cancelled at any time during its progress, at the sole discretion of
Pro 6 Cycle Inc., due to inclement weather or unforeseen events with no refund due to the participants.

I declare my presence at the circuit may expose me to danger either from incidents caused by me or by another person or persons or by nature of activities conducted at the circuit. I further acknowledge that I may be injured or killed while participating in the event.
I declare that I am 18 years of age or over, of sound mind and body, and have freely agreed to sign this agreement.

August 8, 2020

Please select who will be participating...
First Participant's Name

First Name*

Last Name*

First Participant's Date of Birth*
First Participant's Signature*
Parent or Guardian's Email Address


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Emergency Contact

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Emergency Contact's Phone Number*
Which event will you be attending?
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*


Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.

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