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,\\ESTON
PETTY
PRODU C1
BOSCH
September 9-10, 1978
ENTRIES OPEN NOW!
CLOSE' AUG. 25
CONTINGENCY PRIZES FOR MOST CLASSES
Entries open Aug. 1 ....
CIoHAug.25
Don't mail before Aug. 1 ....
"Umited Entries"
Any suindllrd entry form
.13.00 end two ..., addI ! I lit
stamped legal size envelopes
~ ' - photo copy of rider
daaificetion-Dist. 'St,
AME, CRC, CMC, etc.
DAT"'E
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c
o
A separate form must be submitted for each class
~1--A:3-S-i-gn-e-:ovice.
Junior
l' xpert.
District
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Division~
PJlJ, 1\0.
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Club
THE UNDERSIGNED ENTRANT By AFFIXING HIS INITIALS BELOW. ACKNOWLEDGES THAT HE" ASSUMES THE RISK OF
ANY LOSS FROM INJURv OR PROPERTY DAMAGE TO HIMSELF OR TO OTHERS. Du
TO HIS PARTICIPATION IN THIS
EVENT AND HE HEREWITH SPECIFICALLY HOLDS HARMLESS FROM ANV ~AID 1...055 THE AMERICAN MOTORCYCLE
ASS(,CIATION, SPORTS COMMITTEE. DISTRICT 37 AMA, INC., THE SPONSORING CLuB OR ORGANIZATION. AND THE
OWNEAS OF TI-IE REAl. PROPEFrfY ON WHICH SAID EVENT SHALL TAKE PLACE
Jt entr,)nt IS under 21 i)nu does not have current O,strlct 37 Card IndIcating notar,zed conc;ef1t '5 on ftle. Parent or GuardIan
net e aCknowlPdglng nlS or her consent to the ter~s of entry .
~ust
sIgn
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, hE: underSigned does nereby certIfy tl'"lat he IS a dUly QualifIed (Circle One) Amateur'E.:coert/Nov,ce class motorcycle rIder havln~ been
so QUallf,ed by a compett!!'nt organIzation.
It s further understood and 3li/:reed that
the event I am Injured from whatsoever cause durln~ the event COvprpd by p"s aepl,catlon.
·~;;t~;~~'~~r~,~';.s~~:~?e:;'~r~~~"ac;.;~z~o~~~~~~n~~t~;ns~~~a~~e servIce as prov,dec1 by tne seonsor,nR club or property owner, and furthfl'r •
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Under the rules and sanctions of the A,."ertcan Motorcycle Assoc,atlon. I hereby 03lOtreC tn confor,." and comely WIth the rutes lOto ..... ernln~
tn,s contest
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Sl~nature
Date;
of
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entrant:-~
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