Racing Bikes and Quads Every Saturday Night!
Release Form
If your minor child is participating in any Bartow Cycle Sports, Inc. promoted activity, and you as the parent or legal guardian will not be present at such activity, you must complete the following form, have it notarized, and made available to the Bartow Cycle Sports Inc. staff at the time of registration.
Click Here to open the form and print
Parental Consent Form
I, ___________________________________, Legal Parent or Guardian of
______________________________ give Permission for ________________________to sign any entry forms, releases
forms, memberships forms or any other document rerquired by Bartow Cycle Sports, Inc. or the Race promoter for
_______________________to Race and/or practice at the Bartow Cycle Sports, Inc motocross track located at
1585 Centennial Blvd, Bartow, Fl. 33830.
Each of the undersigned being fully aware of the risks and hazards inherent upon entering said premises and/or participating in any races or practices held at said premises, hereby elects voluntarily to enter upon said premises, knowing their present conditions and knowing that said conditions may become more hazardous and dangerous during the time that each of the undersigned is upon the said premises. Each of the undersigned hereby voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by any or each of the undersigned, or any property of any of each of the undersigned while in, on or upon the said premises.
This release shall be binding upon the distributees, heirs, next of kin, and personal representatives of each of the undersigned
I, ____________________________________, Legal Parent
or Guardian of _______________________________ give permission to _____________________________________ to
make any medical decisions in case of emergency at Bartow Cycle Sports, Inc. motocross track.
EMERGENCY CONTACT PHONE NUMBERS
Home ( )______________________
Work ( )______________________
Cell ( )______________________
Other ( )______________________
I swear, or affirm, under penalty of perjury, that this Parental Consent Form is true and correct.
_________________________________________________
Signature of Legal Parent of Guardian
______________________________
affix notary stamp/seal above
Click Here to open the form and print
Parental Consent Form
I, ___________________________________, Legal Parent or Guardian of
______________________________ give Permission for ________________________to sign any entry forms, releases
forms, memberships forms or any other document rerquired by Bartow Cycle Sports, Inc. or the Race promoter for
_______________________to Race and/or practice at the Bartow Cycle Sports, Inc motocross track located at
1585 Centennial Blvd, Bartow, Fl. 33830.
Each of the undersigned being fully aware of the risks and hazards inherent upon entering said premises and/or participating in any races or practices held at said premises, hereby elects voluntarily to enter upon said premises, knowing their present conditions and knowing that said conditions may become more hazardous and dangerous during the time that each of the undersigned is upon the said premises. Each of the undersigned hereby voluntarily assumes all risks of loss, damage, or injury, including death, that may be sustained by any or each of the undersigned, or any property of any of each of the undersigned while in, on or upon the said premises.
This release shall be binding upon the distributees, heirs, next of kin, and personal representatives of each of the undersigned
I, ____________________________________, Legal Parent
or Guardian of _______________________________ give permission to _____________________________________ to
make any medical decisions in case of emergency at Bartow Cycle Sports, Inc. motocross track.
EMERGENCY CONTACT PHONE NUMBERS
Home ( )______________________
Work ( )______________________
Cell ( )______________________
Other ( )______________________
I swear, or affirm, under penalty of perjury, that this Parental Consent Form is true and correct.
_________________________________________________
Signature of Legal Parent of Guardian
______________________________
affix notary stamp/seal above
863.533.5302