2019 WSP and/or NEMX Membership Form

Fields Marked * Are Required

Family Discount - 1-3 Members pay - 4+ free - Must be child or spouse or siblings
WSP Series = WSP MX Series and WSP SX Series, NEMX Travel Series = NE Motocross Tracks

* Select A Membership:

IMPORTANT NOTE:
The form accepts one membership application at a time. A first and second family membership must be purchased in order to receive the third family membership discount or the difference must be paid in order for membership to be approved.

Single Member and 1st or 2nd Family Members Select From One of These Options:

3rd Family Member ONLY Select From One of These Options:

* First Name:

* Last Name:

* Address:

* City:

* State:

* Zip Code:

* Phone:

* Email:

* Date of Birth:

* Age:

*Copy of birth cert or license on file?:

Transponder #:

* Emergency Contact:

* Racers Experience:

Choose 3 Bike #'s NO X's (Used for One Day Members) renew 2018 race # by 12/31/2018

* Bike # Choice 1:

* Bike # Choice 2:

* Bike # Choice 3:

* Bike Size:

* Bike Brand:

Bike 2 Size:

Bike 2 Brand:

***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 2019:

You must have a Transponder to participate - purchase at MXTransponder.com or $10 Day Rental with deposit
After 4/1/2019 – Forms/Memberships accepted at track only – not by mail

Winchester Speedpark, New England Mx Release Form
WSP 512 & 517 Keene Rd, 12 Bell Ct Winchester, NH 03470
FOR ENTIRE 2019 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 WSP Racing LLC,  New England Motocross LLC, and WSP Real Estate 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 WSP RACING LLC, WSP REAL ESTATE 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 ("Releases"), 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 WSP RACING LLC, WSP REAL ESTATE 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/SX, WAREHAM MX, MIDDLEBORO, MX207, SOUTHWICK, NHMX, HEMONDS OR ANY 2019 TRACK YOU VISIT/RACE UNDER OUR ORGANIZATION’S SCHEDULED RACES.