Membership Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Application Date *Select the date of your application.Type of MembershipDay PassAnnual MembershipFull Name *FirstLast Application Signature Full DOBEmail Address *Phone Number *Release and Waiver of Liability Agreement I, the undersigned, for myself and for my heirs, personal representatives and assigns, do hereby release and forever discharge Bonneville Off-Road Racing and any other person, firm, or corporation charged or chargeable with responsibility or liability, their heirs, representatives and actions and causes of action, arising from any act or occurrence, and particularly on account of all personal injury disability, property damage, loss damage of any kind that I may hereafter sustain as a result of participating in an event named as B.O.R. sanctioned. I fully understand the nature of the activities conducted by Bonneville Off-Road Racing, acknowledge the hazards of those activities and voluntarily assume the risk of injury to my person, property of others. Your membership does not in any way include or guarantee any insurance coverage of any kind. Insurance if any, provided by a B.O.R. sanctioned organization, is without cost to you and maybe increased, decreased, canceled, or changed in any way by the sanctioning B.O.R. organization at any time at its sole discretion. I hereby release the participating organization's employees and beneficiaries from any and all liability, claims, demands, breach of warranty, negligence, actions, and any and all causes of action for any loss, claim, damage, injury, illness, attorney’s fees or harm of any kind or nature to me arising out of my participation in the activity. This release extends to any claim made by my family, estate, heirs, or assigns arising from or in any way connected with the activities. B.O.R. RESERVES THE RIGHT TO REFUSE OR REVOKE THE MEMBERSHIP OF ANYONE. IF MEMBER IS UNDER THE AGE OF 18 YEARS, THIS FORM MUST BE SIGNED BY HIS OR HER PARENT OR LEGAL GUARDIAN. Signature * Clear Signature Digital SignatureParent/Guardian: * Clear Signature Digital signatureFor Full Membership, please select you T shirt sizeSMLXLXXLSubmit