ATVAM FALL CONVENTION
Pine Riders ATV Club
ATV Pull/Mud Run Registration
Name______________________________________________________
Address_____________________________________________________
City________________________________State_______Zip__________
*Vehicle Information*
Make/Model/Year____________________________________________
Engine
(CC’s)_______________________________________________
Modifications________________________________________________
Participating in: (please fill out separate
form for each)
ATV Pull _____ Mud Run _____
ATV Pull Classes (circle one
only)
Classes will be based on
weight and cc’s – if you are over the weight for your
cc class you WILL be bumped
to a higher cc class! Judges decisions are final!
2x4 (no 4x4’s) 350cc & under 351-500cc 501cc & over
4x4 350cc & under 351-450cc 451-600cc 601-700cc 701cc
& over
Modified 4x4/6x6/side-by-sides/tractors
*Liability Disclaimer*
By participating in this
event, I understand that I cannot/ will not hold the Pine Riders
ATV Club, its members,
affiliates or sponsors liable for injury or property damage that
may occur to myself or
others. Participate at your own risk!!!
Signature____________________________________Date___________
Signature of Parent or
Guardian__________________Date___________
(if under 18 years
old)
revised