Hayward Motorcycle Clubs 63rd Annual Cowbell Enduro

1
Hayward Motorcycle Clubs63rd AnnualCowbell
Enduro!
Middle Creek Campgrounds, Upper Lake, CA -
November 7th, 2009
Drawing October 20, 2009
T-shirts Available at event.
For Information Call Entries
510-785-7749 Course 925-829-0904 Email
HaywardMC_at_sbcglobal.net Or alans03_at_aol.com
MUST BE ABLE TO GO 50 MILES ON GAS

• MSR CHAMPIONSHIP SERIES ROUND 8
• B.C. SERIES ROUND 8
• Entries received after 700PM October 20, 2009
  will be assigned starting times as received
• Starting times determined by drawing AA, A,
  Riders first, then Enduro club B C Riders.
• Course is approximately 90 miles
• District 36 rules apply on entry form
• First rider out a 730AM
• Muffler/Spark Arrester REQUIRED
• License Plate or Off-Road Red/Green/Orange
  Sticker REQUIRED
• NO RIDER INSURANCE
• DOT APPROVED GAS CAN ONLY
• Entry Fee includes 3 District 36 L.A.O. Fund
• A Rider GAS DROP OFF BY 730AM
• B C Rider GAS DROP OFF BY 830AM
• PRE-ENTRY CLOSES OCTOBER 20, 2009
• Next Event Round 9 WFO Enduro
• November 15, 2009 Stonyford, CA.

• HOW TO ENTER
• Complete Sign entry form below
• Enclose the following
• AMA CARD (copy)
• District 36 Card (copy) and club card(copy)
• 3 (4 x 10 Size) Self Addressed Stamped envelopes
• Check or Money Order (do NOT send cash)
• Pre-Entry -- 55.00
• Post Entry -- 65.00
• Name Change 7.00 per rider
• Make Checks Payable to HAYWARD MC
• Mail to HMC
• 1769 Osage Avenue
• Hayward, CA 94545
• You Can purchase the following at Sign-ups
• AMA Membership -- 39.00
• District 36 (12 months) -- 30.00
• District 36 (One Day Card -- 10.00
• Jart charts- 5.00

OFFICIAL DISTRICT 36 ENTRY FORM
EVENT ______________________________HOSTING
CLUB ____________________DATE__________________
NAME___________________________________________AD
DRESS_____________________________________ CITY_
__________________________________STATE______ZIP
_______________PHONE__________________ AMA______
______D36___________CLUB________________________
_________________________________ SPONSORS_______
__________________________________________________
___________________________ MOTORCYCLE
MAKE__________________________________ENGINE
SIZE______________________________ NAME OF RIDER
2___________________________________NAME OF
RIDER3___________________________ PLACE ALL
ENTRIES ON THE SAME MINUTE YES_____ NO _____
OFFICIAL CLUB USE ONLY
DIRECTION SELECT ONE 1)SKILL LEVEL AA, A, B,
C 2)ENGINE SIZE or 3)AGE CATEGORY (BY
MARKING APPROPRIATE BOX BELOW) AA A B
C 86-200 2 or 4 Stroke
201-OPEN 2 or 4 Stroke
201-250 2 or 4 Stroke
VET(30)
Senior(40)
Super Senior(50)
Master(60)
Women
SKILL LEVEL
I HAVE READ THIS ENTRY FORM AND AGREE TO THE
FOLLOWING CONDITIONS PARTICIPANTS/RIDERS
SIGNATURE_________________________________________
______________________________________DATE_______
_________________________ DATE OF BIRTH
____________NOTARIZED GUARDIAN SIGNATURE__________
__________________________________________________
___________
(REQUIRED FOR RIDERS UNDER THE AGE OF 18
YEARS OLD IF PARENT IS NOT PRESENT AT SIGN-UP) I
hereby give up all my rights to sue or make any
claim for damages due to negligence or any other
reason whatsoever against the American
Motorcyclist Association and it district
organizations, the promoters, sponsors and all
other persons, participants or organizations
conducting or connected with this event for
injury to property or person I may suffer,
including crippling injury or death, while
participating in the event and while upon event
premises. I know the risk of danger to myself
and my property while preparing for an
participating in the event and while upon the
event premises and, relying upon my own judgment
and ability, assume all such risks of loss and
hereby agree to reimburse all costs to those
persons/or organizations connected with the event
for damages incurred as a result of my negligence.