MINERAL WELLS ATV CLUB, LLC
__________ CLASS 1 0-90CC YOUTH 12 AND UNDER, (OEM FRAME, PIPE, ENGINE, NO FACTORY PRODUCED RACE BIKE)
__________ CLASS 2 YOUTH OUTLAW 1-125CC 12 AND UNDER
__________ CLASS 3 POWDER PUFF
__________ SENIOR SENIOR 45 AND UP
__________ CLASS 5 0-360CC 4-STROKE (STOCK UNCUT TRANSMISSION)
__________ CLASS 6 0-330CC 2-STROKE
__________ CLASS 7 0-500CC 4-STROKE
__________ CLASS 8 0-400CC 2-STROKE
__________ CLASS 9 0-1000CC 4-STROKE (SINGLE OR TWIN CYLINDER)
__________ CLASS 10 0-450CC 4-STROKE (NO DIRTBIKES, OEM CLUCH COVER, NO DRAG AXLES, NO LOCK OUT CLUTCH, STOCK UNCUT TRANSMISSION, STOCK FRAME, NO OUTBOARD DRAG PIPES)
__________ CLASS 11 0-700cc 4-STROKE or 500cc 2-stroke LIMITED (NO DIRTBIKES, OEM CLUCH COVER, NO DRAG AXLES, NO LOCK OUT CLUTCH, STOCK UNCUT TRANSMISSION, STOCK FRAME, NO OUTBOARD DRAG PIPES, KNOBBY TIRES, NO CLUB MEMBERS OR CLUB MEMBER BIEKS)
__________ CLASS 12 0-416CC 4-STROKE (STOCK UNCUT TRANSMISSION)
__________ CLASS 13 0-500CC 2-STROKE OR 0-800CC 4-STROKE
__________ CLASS 14 OPEN UTILITY / SPORT UTILITY / UTV
__________ CLASS 15 0-1500CC OPEN
DIRT BIKE CLASSES:
__________ CLASS 16 0-100CC YOUTH 12 AND UNDER
__________ CLASS 17 0-525CC MOTORCYCLE
ALL DIRT BIKES MAY JOIN THEIR APPROPRIATE ATV CALSS EXCEPT IN THE 450CC 4-STROKE AND THE 700CC 4-STROKE/500CC 2-STROKE LIMITED. NO DIRTBIKES WILL BE ALLOWED IN THESE CLASSES.
__________ CLASS 19 POWER-WHEELS: OPEN, 5 AND UNDER – $5
*MAKE AND MODEL OF ATV, BIKE or UTV:_____________________________________
LIABILITY WAIVER & RELEASE
Upon signing this Waiver & Release, I do understand that Mineral Wells ATV Club, LLC Members as a group or individually, will not under any conditions be held liable for any injuries or any kinds or nature which may occur or be received as a result of said participant’s participation I n said event, and hereby expressly waive all claims for injuries that may occur to myself or anyone I may injure, caused by myself or anyone else while being a participant, contestant, or spectator of said dirt drag event.
I acknowledge that I have read this Waiver & Release and do agree to it.
I have reviewed and will strictly observe the ATV Drag Rules and Regulations.
*PLEASE PRINT CLEARLY*
NAME OF PARTICIPANT DATE____/_____/_____
SIGNATURE PHONE NO.( ) ______-_______
**If Under 18 Years of Age; Parent Signature Required*
PRINT NAME OF PARENT/LEGAL GUARDIAN___________________________________________________
SIGNATURE OF PARENT/LEGAL GUARDIAN____________________________________________________
ADDRESS CITY STATE ZIP_______