Michigan Human Powered Vehicle Rally Registration

Class and Number:

See the HPRA rules at the HPRA website to discover your vehicles class and appropriate number.
The number may be re-assigned if not available.

Costs:

Saturday only racing $10. Sunday only racing $10. Both days $10.

Racing More Than One Vehicle:

Please complete a separate registration for each vehicle you will be racing. Each rider/vehicle
combination needs a separate number. After completely filling out the form for the first vehicle,
additional vehicles only need the name and the information below the dotted line filled in.

Use mouse or Tab between fields and fill in all fields.












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Click 'Create Racer' to register. Click once, and be patient.

Back
Click Back to abort your registration.

Below is the waiver that you must sign the day of the rally in order to participate.

Human Powered RaceAmerica Accident Waiver and Release of Liability
Date and Location -- Waterford Hills, Michigan June 18-19, 2016.

I acknowledge that this athletic event is an extreme test of a person’s physical and mental limits and carries with it the the potential for death, serious injury and property loss. The risks include, but are not limited to, those caused by terrain, facilities, temperature, weather, condition of athletes, equipment, vehicular traffic, actions of other people including, but not limited to, participants, spectators, coaches, event officials, and event monitors, and/or producers of the event, and lack of hydration. These risks are not only inherent to athletics, but are also present for volunteers. I hereby assume all of the risks of participating and/or volunteering in this event. I realize that liability may arise from the negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained or controlled by them or because of their possible liability without fault. I certify that I am physically fit, have sufficiently trained for participation in the event and have not been advised otherwise by a qualified medical person. I acknowledge that this Accident Waiver and Release of Liability (AWRL) form will be used by the event holders, sponsors and organizers, in which I may participate and that it will govern my actions and responsibilities at said events. In consideration of my application and permitting me to participate in this event, I hereby take action for myself, my executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) Waive, Release and Discharge from any and all liability for my death, disability, personal injury, property damage, property theft or actions of any kind which hereafter may accrue to me or my heirs, traveling to or from this event, THE FOLLOWING ENTITIES AND PERSONS, Human Powered RaceAmerica, their directors, officers, employees, volunteers, representatives, and agents, the event holders, event sponsors, event directors, event volunteers; (B) indemnify and Hold Harmless the entities or persons mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of any of my actions during this event. I hereby consent to receive medical treatment which may be deemed advisable in the event of injury, accident, and/or illness during this event. I understand that at this event or related activities, I may be photographed. I agree to allow my photo, video or film likeness to be used for any legitimate purpose by the event holders, producers, sponsors, organizers and/or assigns. This AWRL shall be constructed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I hereby certify that I have read this document; and that I understand its’ content.

Parent/Guardian Waiver for Minors (Under 18 Years Old) The undersigned parent and natural guardian or legal guardian does hereby represent that he/she is, in fact, acting in such capacity and agrees to save and hold harmless and indemnify each and all of the parties referred to above from all liability, loss, cost, claim or damage whatsoever which may be imposed upon said parties because of any defect in or lack of such capacity to so act and release said parties on behalf of the minor and the parents or legal guardian