Fields Marked by * Are Required

Family Discount 1-3 Members pay 4+ free Must be child or spouse or siblings
WSP Series = WSP MX Series and WSP SMX Series, NEMX Travel Series = NE Motocross Tracks
*Select A Membership: WSP $75.00 by 12/31 then $90 NEMX $75.00 by 12/31 then $90 BOTH $120 by 12/31 then $150 - $75 Fall
*First Name: *Last Name:
*Address
*City: *State: *Zip Code:
*Phone: *Email:
*Date of Birth: *Age:
*Copy of birth cert or license on file? *Emergency Contact:
Choose 3 RACE #’s NO X’s (Used for One Day Members) renew 2016 race # by12/31/16
*Race # 1st choice: *Race # 2nd choice: *Race # 3rd choice:
*Racer’s Experience please select one:
Beginner Novice Amateur Expert/Pro
*Bike Size: *Bike Brand: Bike Size 2: Bike Brand 2:
***For contingency choose bike brand and be sure to check results on race day for proper listing*** You (rider) must race in proper class (Novice Amateur or Expert) and must compete in the highest classification you have held or hold in any organization or events past or present. *Check all classes you will be competing in for 2017
50 4-6 50 7-8 50 Open 4-9 65 7-9 65 10-11
65 Open 7-12 85 9-11 85 12-15 Supermini 7-16 Youth C 18 & Under
Youth A & B 18 & Under 250 C (Lites) 250 B (Lites) 250 A (Lites) 450 C (Mx)
450 B (Mx) 450 A (Mx) Open C Open B
30 C 30 B 30 A 40 C 40 B
40 A 50+ Women 85+  
You must have a Transponder to participate - purchase at track or $10 Day Rental with deposit
After 4/1/17 – Forms/Memberships accepted at track only – not by mail
Notary forms are OPTIONAL for home tracks (WSP) this year. You may choose to sign waivers and minor releases at every race/practice OR we will add W to the end of your membership if waiver and Minor release (under 18) forms are Notarized for the year. When yearly waivers are on file, your kiosk entry will print W for us to skip signatures (at HOME only) )
IF YOU ARE RIDING AGE DEFINED CLASS BE SURE PROOF OF AGE IS ON FILE

Winchester Speedpark, New England Mx Release Form
WSP 512 & 517 Keene Rd, 12 Bell Ct Winchester, NH 03470
 
FOR ENTIRE 2017 Season
Motocross Track – Super-Mx Track – Away Tracks
WSP = Winchester Speedpark  - NEMX = New England Motocross

RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT
IN CONSIDERATION
of being permitted to participate in any way in the sport and activities of Motocross/Supercross under the auspices of Winchester Speedpark LLC New England Motocross LLC, and WSP Holdings LLC or any WSP Series or NEMX event, I acknowledge, appreciate, and agree that:
1 . The risk of injury from the activity and equipment involved in motorized off road activities is significant including the potential for permanent disability and death, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exist; 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, AND ASSUME ALL RESPONSIBILITY FOR MY PARTICIPATION; and, 3. I understand that the activities of motorized off road activities are physically and mentally intense. I understand the rules of play and will comply with all rules and regulations. If I observe any unusual or unnecessary hazards during my participation, I will bring such to the attention of the nearest official as soon as practical AND LEAVE THE AREA; I understand and accept that weather, other riders and grooming procedures change the course conditions at any time before and throughout the day.  4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, FOREVER RELEASE AND HOLD HARMLESS WINCHESTER SPEEDPARK LLC, WSP HOLDINGS LLC,  NEW ENGLAND MOTOCROSS LLC THE OWNERS AND LESSORS OF THE PREMISES USED TO CONDUCT THE MOTORIZED OFF ROAD ACTIVITIES, THEIR OFFICERS, OFFICIALS, AGENTS, PROMOTERS, SPONSORS AND/OR EMPLOYEES ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE. 5. I understand and agree that the release of Liability AGREEMENT covers each and every motorized off road activity and/or event in which I participate or attend hereafter. 6. I UNDERSTAND THAT THE PROMOTERS OF WINCHESTER SPEEDPARK LLC, WSP HOLDINGS LLC, NEW ENGLAND MOTOCROSS LLC  DO NOT PROVIDE HEALTH INSURANCE.   THE UNDERSIGNED FURTHER AGREES TO ASSUME ALL RESPONSIBILITY FOR DOCTOR, AMUBULANCE, HOSPITAL AND MEDICAL EXPENSES AND ANY LOSS OR INJURY TO ME/THE MINOR AND/OR PERSONAL PROPERTY DUE TO PARTICIPATION IN ANY NEMX or WINCHESTER SPEEDPARK EVENT. THE UNDERSIGNED HAS READ AND VOLUNTARILY SIGNS THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, and further agrees that no oral representations, statements or inducements apart from the forgoing written agreement have been made. TRACKS: WSP MX/SMX, WAREHAM MX, , MIDDLEBORO, MX207, SOUTHWICK, NHMX, HEMONDS OR ANY 2017 TRACK YOU VISIT/RACE UNDER OUR ORGANIZATION’S SCHEDULED RACES.

* I HAVE READ THIS RELEASE I have and will maintain health insurance to race and or practice at WSP/NEMX events and I have Read the Rules for WSP/NEMX and agree to comply