Cycle News is a weekly magazine that covers all aspects of motorcycling including Supercross, Motocross and MotoGP as well as new motorcycles
Issue link: https://magazine.cyclenews.com/i/125973
IlIVEIlSIDE INTL.IlJICEWRY' ~l~i APRIL .1UfI, 197.1 ~fILES ALL RACES 100 D ISTRICT 37 PO I NTS A MA SANCTIO NED • • PART ICIPATION PI~IS M 'D FINISHER PII'!S RESCUE 3 WI L L BE II'I A TT EN DA I'!CE F REE NE W COURSE • • OVER~!IGHT CA MPI I'JG FREE RIDER ST IC Kl ES • • I~ JD OO R • I'JO PLAY BIKES CH I L D R EN U I\ID ER 12 FREE PLU M B I" '" Entries open January 24, 1975, and close March 9, 1975. Due to District 37 referee ruling dat~ 1/15/75, Women's division riders will start with the men in their respective classes. BRENTHERR B-. PRIX P.o. Bo" 60Z6 Orllnlle, CII)if. 9Z667 NOVICE DESERT 0 -100 JUNIOR MOTO-X 101 - 125 EXPERT SCRAMBLE 126-175 UNCLASS PWDR·PUFF 176 - 250 HACKS 251 - 500 Phone (714) 636-0CMC OPEN SENIOR Dist. Rid ing No . or (714) 636-6262 RIDERS PLEASE CHECK CORRECT BOX Mail Entry $12 .00 a rider - Post Entry $100.00 ENTRY MUST BE ACCOMPANIED BY 2 SELF·ADDRESSED, STAMPED, LEGAL SIZE ENVELOPES PLEASE PRINT CLEARLY Dist No . Name CiW aub Address, State Zip Eng. Size, Make Bike, _ ..!Phone Age AMA #, --- Expries, _ THE U NDERSI GNED ENTRANT BY AFF I X ING HIS I NITI ALS BE LOW , ACKNOW LEDGES THAT HE ASSUMES THE RISK OF ANY LOSS FROM INJURY OR PROPERTY DAMAGE TO H IMSELF OR TO OTHERS, DUE TO HIS PARTICIPATION IN THIS EVENT AND HE HEREWITH SPECIFICALLY HOLDS HARMLESS FROM ANY SAID LOSS THE AMERICAN MOTORCYCLE ASSOCIATION , SPORTS COMMITTEE, DISTRICT 37 AMA , INC " THE SPONSORING CLUB OR ORGANIZAT IO N , AND THE OWNERS OF THE REAL PROPERTY ON WHICH SAID EVENT SHA LL TAKE PLACE . ' (entran t ' s and/or par ent's in itia ls) The undersigned does hereby certify tha t he is 8 duly qual ified (C ircle One) Jun ior/E xper t/Nov ice class motorcycle r id er hav ing been so qual ified by a competent organ izat ion. It is further understood and agreed that in the event I am injured from whatsoever cause d ur ing t he event covered by this application . I herewith consent to and authorize f irst aid and ambulance service as prov ided by the sponsoring club or property owner, and fur ther hold all parties harmless from any consequences of said aid. Under the rules and sanctions of the Ar]'lerican ~otorcyc le Assoc iation, I hereby agree to conform and comply with the rules govern ing t his contest. Signature of entrant Date 19 If entrant is under 18 and does not have a current Distr ict 37 Card ind icating notar ized consent is on file, Parent or Guardian must sign here aeknowt edg ing his or her notarized consent to the terms of entry. I - -- - - - - - -- - - - - - NOTICE - THE BELOW INFORMATION TO BE USED BY RESCUE FORCES ONLY. _ _ _ _ _ _ _ _ _--,---__- - - - - RIDER 'S 'NAME Male/Female AGE ~:.' '-----CITY STREET ADDRESS STATE PHONE PERSON TO NOTIFY IN CASE OF ACCIDENT PHONE RELATIONSH IP YOUR INSURANCE COMPANY ...... .... . ......... ~ YOUR BLOOD TYPE ' POLICY NUMBER _ , , . 3