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{\*\generator Msftedit 5.41.15.1503;}\viewkind4\uc1\pard\qc\b\f0\fs32 DIRT RIDERS, INC. MOTORCYCLE CLUB OF ILLINOIS\par
\fs20\par
\f1\fs22 MEMBERSHIP APPLICATION\par
\b0 (MUST BE OF LEGAL AGE)\par
\fs20\par
\b\fs22 NEW_______\tab\tab\tab\b0 MEMBERSHIP FEE IS DUE IN SEPTEMBER.\tab\tab\b RENEWAL_______\par
\b0 CHECKS SHOULD BE MADE PAYABLE TO \ldblquote DIRT RIDERS INC.\rdblquote\par
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\pard\f2\fs26 APPLICATION DATE:_________________________  KEY & STICKER NO.____________________\par
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NAME__________________________________________   BIRTHDATE______________________\par
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ADDRESS_______________________________________   PHONE(        )_____________________\par
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CITY______________________STATE___ZIP__________   PHONE(        )_____________________\par
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EMAIL____________________________________________________________________________\par
\cf1\fs28 *\cf0\f2\fs16 Required by new applicants \endash  not required for renewal\f0\par
\pard\brdrl\brdrdash\brdrw60\brsp80 \brdrt\brdrdash\brdrw60\brsp20 \brdrr\brdrdash\brdrw60\brsp80 \brdrb\brdrdash\brdrw60\brsp20 \keepn\s1\b\fs26 RECOMMENDED BY:  (1)___________________________________________________________\fs28\par
\pard\brdrl\brdrdash\brdrw60\brsp80 \brdrt\brdrdash\brdrw60\brsp20 \brdrr\brdrdash\brdrw60\brsp80 \brdrb\brdrdash\brdrw60\brsp20 \fs24 (club Member\rquote s name)  \fs28     \fs26 (2)___________________________________________________________\fs28\par
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DRIVERS LICENSE NO.________________________________\par
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TOW VEHICLE(S) LICENSE NO.________________________\fs24\par
\pard\keepn\s2\b0\fs26\par
AMA MEMBERSHIP NO. (IF APPLICABLE)___________OTHER CLUBS_______________________\par
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\fs26 EMPLOYED BY:____________________________________________________________________\par
\fs24\par
\fs26 NAMES OF RIDERS IN FAMILY \fs18 (PERSONS OVER 18 YEARS OF AGE MUST HAVE THEIR OWN MEMBERSHIP)\par
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__________________________________________________________________________________________________________________________\par
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\fs26 MAKE AND MODEL OF OHV(s)______________________________________________________\par
\b\fs28\par
\pard\keepn\s3\fs24 TYPE OF RIDING:\tab (   ) ATV\tab\tab (   ) TRAIL RIDING\tab (   ) HILL CLIMB\tab (   ) MOTOCROSS\tab\tab\tab\tab (   ) SCRAMBLES\tab (   ) TRIALS\tab\tab (   ) ENDURO\tab\tab (   ) OTHER\par
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\pard\keepn\s4\qc\ul\fs28 LIABILITY RELEASE\par
\pard\ulnone\fs20\tab\par
\tab\b0\f2\fs14 I (WE) HEREBY AGREE TO CONFORM TO AND COMPLY WITH THE RULES OF THE DIRT RIDERS INC. MOTORCYCLE CLUB OF ILLINOIS.\par
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\tab I (WE) FURTHER AGREE TO HOLD BLAMELESS THE DIRT RIDERS INC. MOTORCYCLE CLUB, THE CLUB\rquote S OFFICERS AND THE OWNER OF THE PROPERTY FOR ANY LOSS OR INJURY TO MYSELF (OURSELVES) OR TO ANY OF MY (OUR) PROPERTY AND ASSUME ALL RESPONSIBILITY FOR ANY LOSS OR INJURY TO MYSELF (OURSELVES) OR TO ANY MEMBER OF MY (OUR) FAMILY, OR TO ANY OF MY (OUR) PROPERTY WHICH I (WE) MIGHT BRING UPON MYSELF (OURSELVES) BY REASON OF MY (OUR) BEING ON THE PROPERTY RENTED BY THE DIRT RIDERS INC. MOTORCYCLE CLUB FROM MR. EUGENE TIMMERMAN FOR THE PURPOSE OF RECREATIONAL OFF-ROAD RIDING.\par
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\tab I (WE) UNDERSTAND THAT I AM (WE ARE) RESPONSIBLE FOR MY (OUR) OWN MEDICAL INSURANCE AND THAT THE DIRT RIDERS INC. MOTORCYCLE CLUB, THE CLUB OFFICERS AND/OR LANDOWNER OR LANDOWNERS WILL NOT BE HELD RESPONSIBLE FOR ANY INJURY OR PROPERTY DAMAGE INCURRED BY MYSELF OR MY FAMILY WHILE ON THE DIRT RIDERS INC CLUB GROUNDS FOR ANY REASON.\par
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\tab I \caps have received a copy of, have read and understand the \ul Rules\ulnone  of the Dirt Riders Motorcycle Club, Inc. of Illinois and agree to abide by and adhere to these directives. I understand and agree that any violation of the \ul Rules\ulnone  of the Dirt Riders Motorcycle Club, by myself or a member of my family, may result in disciplinary action up to and including, surrender or revocation of my membership, subject to the judgment of the club\rquote s officers or appointed disciplinary body.\par
\caps0\par
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\pard\keepn\s3\b\f0\fs24 SIGNATURE OF APPLICANT___________________________________________DATE_____________\par
\pard\b0\f2\fs12\par
\pard\qc\fs16 PLEASE READ and SIGN THE RULES ON THE REVERSE SIDE OF THIS FORM\par
\pard\qc\b\f1\fs48 Dirt Riders Rules\cf2\par
\cf0\ul\fs20 REVISED August 5\super th\nosupersub , 2008\par
\ulnone\b0\f0\par
\pard\f1\fs22 (1) No minors may ride on club property unless accompanied by parent or legal guardian.\par
(2) No alcoholic beverages are allowed on the club grounds.\par
(3) No firewood is to be removed from club grounds.\par
(4) MX and short tracks are to be run counter-clockwise and not to be ridden on when wet or muddy.\par
(5) No firearms or hunting is allowed on the club grounds.\par
(6) There is a 5-mph speed limit in the parking lot. No reckless riding or pit racing is allowed.\par
(7) Trash will be thrown in garbage barrels, not on ground.\par
(8) No riding during club sponsored events unless entered in or working during the event.\par
(9) Functioning mufflers are required on all machines.\par
\pard\fi-450\li450 (10) The maximum sound level produced by a vehicle on the Club Grounds is the current level for Motocross racing as set by the American Motorcyclists Association (AMA). The acceptable limit will change in accordance with revisions to the level as established by the AMA. Vehicles exceeding this level will not be allowed to operate on the Club Grounds. Sound testing may be conducted at any time by a designated body. As June 1\super st\nosupersub , 2006, this level is 99db.\par
\pard (11) No riding after sundown or before 8:00am.\par
(12) Members are required to close and lock the gate after they enter or leave the property.\par
\pard\fi-450\li450 (13) Helmets are required to be worn by all members and non-members while riding on club property.\par
(14) Members that operate 3-wheelers are allowed to ride on the club property, but are not allowed to enter in any club sponsored competitive events.\par
\pard (15) No member will ride around the front gate to enter the club grounds. \par
\pard\fi-450\li450 (16) Persons under 18 years of age that desires to enter a competitive event must have a parent or guardian sign a release before the start of each event.\par
\pard (17) All competitors will sign a release form before engaging in a competitive event.\par
\pard\fi-450\li450 (18) A Dirt Riders, Inc. window sticker will be issued one per membership and is to be displayed in the rear window of the tow vehicle used to transport off road vehicles to the club grounds. If more than one vehicle is used, place your (or a copy of your) membership card on the dash of the vehicle being used.\par
\pard (19) Persons over 18 yrs of age must obtain their own membership.\par
\pard\fi-450\li450 (20) Members must attend 4 of the 11 meetings (there is no January meeting) per club year and attend a minimum of 2 designated work days and record a total of 6 hours of work to be eligible for renewal the succeeding year.\par
\pard (21) No riding is allowed during scheduled work hours.\par
(22) No club member may race any district race promoted by Dirt Riders, Inc.\par
(23) Club members may ride club-sponsored events.\par
\pard\fi-450\li450 (24) Members may not allow anyone other than immediate family members to ride on the club property except during accepted and scheduled events.\par
(25) No member (him or herself) will, or allow any visitor to the club to, operate an unlicensed vehicle on the road outside the club property.\par
(26) 3 and 4 wheelers under and including 100cc of engine displacement with operators under and including 10 years of age are required to have an acceptably visible flag attached to the vehicle that will be no less than 6 feet or more than 8 feet in height as measured from the ground.\par
(27) Multi-user 4-wheelers (where driver and passenger sit side-by-side) are not allowed to be used for recreational purposes. The use of these vehicles is limited to maintenance and emergency use only.\par
\pard\par
I have received a copy of, read and understand the \ul Rules\ulnone  and \ul BY-LAWS\ulnone  of DirtRiders Inc. of Illinois and agree to abide by and adhere to these directives. I also understand and agree that any violation of, or non-adherence to, the \ul Rules\ulnone  and/or \ul BY-LAWS\ulnone  of DirtRiders Inc., whether written or verbal, by myself or a member of my family, may result in disciplinary action up to and including revocation of my membership at the discretion of the club\rquote s officers and/or the collective membership.\fs20\par
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\pard\keepn\s1\f0\fs24 Member\rquote s signature____________________________________________________ Date ____ / ____ / _____\f1\par
\pard\b\f0\fs32\par
\pard\li-720\ri-720\b0\fs20\par
\pard\f2\fs16 Revised  Aug, 2008\par
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