Dual Sport Entry Form - Pre Entry Only
AMA KTM National Dual Sport Series by Norcal Dual Sport
August 22nd and 23rd, 2009
Join N.C.D.S. for 2 days of riding with self guided down loadable GPS files. Both days will be loops out to lunch and gas – no gear transport. Lodging and camping is available in Mount Shasta, CA, nearby Lake Siskiyou Resort, Railroad Park in Dunsmuir, and campgrounds throughout the Shasta Trinity National Forest. This “at will” Dual Sport Motorcycle ride is suited for street registered dual sport bikes. Entry fee includes self navigation aids and lunch for both days. Mount Shasta is 1 hour north of Redding, 3 hours North of Sacramento and 5-6 hours from the Bay. Arrive early and enjoy historic Mt. Shasta, Castella, Dunsmuir, Weed and Yreka. Headquarters and Staging at the Best Western Tree House Inn 111 Morgan Mount Shasta CA.
Statement of Responsibility
You have voluntarily entered an AMA sanctioned Dual Sport event. An AMA sanction indicates that this event is listed in the AMA association calendar and that the AMA road riding rules will be used as a guideline for activities. It does not indicate that the AMA, Norcal Dual Sport have inspected the proposed self guided “at will” tour. When participating in this event you are given navigation aids that are merely a suggested route that can be used and multiple exit opportunities are provided to those that wish to abandon this self guided on road motorcycle event. With the AMA sanction status it does not indicate that the officials have been trained or accredited by the AMA, not does it indicate that you safety has been warranted by the AMA or Norcal Dual Sport. To some extent some motorcycles are inherently dangerous. You should take part in this event based on your own assessment of your own abilities. Routes may traverse public trails, roads, and highways and the promoter is not responsible for their condition or the actions of other individuals using these public trails, roads and highways. Regardless of the state law, the AMA urges that you wear a helmet and other appropriate safety apparel. The association also urges you to receive the professional instructions before operating a motorcycle. The promoter does not provide medical insurance. We urge you not to operate a motorcycle without medical coverage.
The association also urges that if you have any doubts at this time about your personal ability to participate in this event or if you have not adequately prepared yourself or your equipment, or have any question of the conditions of the public route to be taken or if you believe your personal insurance coverage is not adequate to compensate you for loss that may occur, we urge you to notify the promoter who will immediately refund your entry fee.
I have read the entire statement above and understand the contents thereof: signature____________________________________
Name:__________________________________________________
Address:________________________________________________
City:____________________________St.___________zip________
Bike/Displacement:________________________________________
AMA # (for AMA national sweepstakes):________________________
Club Affiliation:____________________________________________
Phone: __________________________________________________
Email:___________________________________________________
Entry deadline August 20th midnight.......cost $80
Check the hotline for updates. Make checks or money orders payable to Norcal Dual Sport, pay with Pay Pal, Visa, MConline at the www.norcaldualsport.com website. Mail Entry Forms to: Norcal Dual Sport 14250 Rhea WayBella Vista, CA 96008
PRINT OUT AND MAIL THIS FORM - DUAL SPORT HOTLINE 530-262-1342