NAME__________________________________________________ HOME PHONE ______ - ________
MAILING ADDRESS_________________________ ____________ CELL PHONE ______ - _________
CITY____________________________STATE_____ZIP__________ E-MAIL ___________________________
EMERGENCY CONTACT ________________________RELATION________________PHONE_____ - _______
In consideration of being allowed to participate in any current or future meets or events sponsored by the Wasatch Trials Association (WTA), the undersigned:
     1. Acknowledges that they understand and recognize the inherent dangers and risks associated with trials motorcycle riding. Dangerous obstacles are part of any trials course and are the main features that attract participation in the events. Injuries from accidents at meets could cause severe permanent physical bodily injury, paralysis or death. I recognize my injuries may cause severe physical, emotional and financial distress to the involved parties. By entering any meets or events areas, the undersigned agrees to assume all risks associated with participation and realizes that without such personal assumption of risk, these events would not be possible.
    2. Agrees to walk all proposed courses prior to riding them in order to personally determine whether or not the course is too difficult or dangerous for the rider's equipment and/or level of expertise. The rider is the only one who can reasonably make that decision and hereby agrees to rely solely upon their own judgement in making the choice to ride or not to ride. The riding of any section is optional and left to the discretion of the rider.
    3. Authorizes in advance any emergency first aid, medication, medical treatment or surgery deemed necessary by medical personnel. In the event the undersigned is unconscious or otherwise unable to make a reasonable decision. Any costs associated with such treatment, etc. shall be born solely by the injured party.
   4. On behalf of themselves, their heirs and next of kin, the undersigned agrees to release, waive and discharge The WTA, WTA members, officers, administrators, directors, agents, marshals, the owners possessors of the properties on which these events are held or any other person or party associated with the WTA event, , from responsibility for injury, harm, loss etc, including the negligence of any afore mentioned person(s) and covenants not to sue.
   5. Agrees to indemnify and hold harmless the WTA and the person(s) listed in #4 In disputes primary related to rider fees and deposits the undersigned agrees to pay reasonable collection costs and attorney fees. In all other disputes each party will pay their own court costs and attorney fees, and there will be no awards for attorney fees to either party.
   6. Agrees that if any part of the waiver should be found invalid, the remaining parts or portions of the document shall remain unaffected and shall be enforceable as a whole.
   7. By signing this agreement the undersigned warrants that they are at least 18 years of age.
   8. Agrees that this document will be effective for all past, present and future riding meets/ events. This agreement supercede and replaces any previously signed agreements. . If a parent of guardian is signing on behalf of a minor child, the parent or guardian is responsible to act as if they were the rider and determine the acceptability of the level of danger in relation to the minor's individual skill and abilities. If a parent or guardian chooses not to attend a meet, they agree to assume the risks, liability, and safety on behalf of their minor child. The minor child remains the parent's responsibility.
THE UNDERSIGNED HAS READ THE ABOVE WAVER AND RELEASES, UNDERSTANDS THAT THEY ARE GIVING UP SUBSTANTIAL LEGAL RIGHTS ON BEHALF OF HIMSELF/HERSELF, THEIR HEIRS, NEXT OF KIN OR THEIR CHILD BY SIGNING THIS WAVER AND ACKNOWLEDGES THAT THEY ARE SIGNING THIS WAVER VOLUNTARILY. IF THIS FORM HAS BEEN REPRODUCED THE SIGNER WARRANTS THIS IS AN EXACT COPY OF THE ORIGINAL AND NO PROVISION HAS BEEN ALTERED CHANGED OR DELETED. IF IT IS FOUND TO BE DIFFERENT THAN THE ORIGINAL, THE UNDERSIGNED BY SIGNING THIS COPY WILL BE HELD TO THE SAME TERMS AS THE ORIGINAL.

MEMBERSHIP FEES:  Single-$20:$_______  Family-$30:$________    EVENT SEASON PASS FEE  Single, $140: $______  Family,$300: $_________
DATE:________________ DATE OF BIRTH:________________
PRINT  NAME:______________________________________________________________
SIGNATURE OF RIDER:______________________________________________________
SIGNATURE OF PARENT/GUARDIAN FOR DEPENDANT RIDERS: ______________________________________
WITNESS OR NOTARY: ___________________________________________________