Dear AMA District 17 Participantamadistrict17.com/services/2020applicationwebpaper.pdf · tion and...
Transcript of Dear AMA District 17 Participantamadistrict17.com/services/2020applicationwebpaper.pdf · tion and...
January 7, 2020
Dear AMA District 17 Participant,
We hope to see you at the annual District 17 Awards Banquet on February 1st, 2020 at Pitsticks Pavilion on Rte. 23 North of Ottawa, Illinois. It’s that time of year again. Enclosed is your 2019 District 17 Membership Application, Rule Change Letter and Awards Banquet ticket order information.
Remember: All District 17 residents, riding DSCC Off-Road Events, must have or have ap-plied for, a current DSCC Rider Membership Card. Being a Pro-Am rider doesn’t matter in this process. Family Member discount! With a paid adult membership in the SAME envelope from the
SAME address, we are offering a 5.00 discount for all kids under the age of 18 !
GET YOUR CARD EARLY! Apply for your membership card as soon as you receive
the renewal application. Do not wait until you go to the first event of the season. The fee is now $20 until March 1, 2020, then it increases to $25. save 5.00 !!! Not to mention sav-ing time at sign up and the long lines. YOU CAN DO IT ALL ONLINE IF YOU WISH AS WELL!! Go to the website and follow the instructions, fast easy, and works great!
MINORS! Fill out the AMA Annual release form and get it notarized. NO LONGER do you
have to have the application Notarized! That way you avoid all the extra paper work on race day! The AMA Annual release is included in this packet. You can mail it to use with your app, or mail that to AMA directly.
Cards may not be processed until Mid-end of January. If you don’t receive your card in a timely matter please contact the card Processor (Patty Ward), Please
give it til the end of January at least. (Check your points early in the season!!! Waiting till Late in the season could jeopardize your
points!!
You must ride with the number assigned to you by the District, (on your number plates).
FILL OUT THE MEMBERSHIP APPLICATION COMPLETELY!!
PROVIDE ALL OF THE REQUIRED DOCUMENTS AND SIGN THE APPLICATION.
PRINT CLEARLY!!!! This will help your application to go through faster.
Cycle USA will be doing a event guide and mailer this season, our plan is to offer a digital report-ing process for the riders to see through out the season. Stay tuned as we will post on the Face book page and District website as this gets put together. District 17 Scholarship program. All information is on the website.
Thank you and Good Luck and have a Great Racing Season!!!!!
Your Directors
Rule Changes that were approved:
General: (applies to all types)
Proper notification of date or location change must be submitted to the proper direc-tor or appropriate board member a minimum of 10 days prior to the event (non-weather related). Failure to do so may result in district points being stripped for the event or probation for the club/promoter. A second offense will result in club/promoter suspension from the district.
Dirt Track:
400 Quad class
Add class 0-200 2 stroke/ 0-400 4 stroke quad 13yrs old and up
Enduro: One AA rider per minute/row on all available minutes/rows. During a sprint enduro a rider must complete the first test and or section before proceeding to other tests and or sections for the day. Unless otherwise noted/posted prior to the start of the event by the club.
Hare Scrambles:
Delete Worker points
Delete 20+ B class
There were no rule changes in Motocross, Stadium mx, Hillclimb, Gp, Trials
ATTENTION PARENTS and Guardians:
If you are parents of a minor child who is planning to race. GET THE AMA Annual Release done! Do this be-
cause it’s required by the AMA/ insurance that BOTH parents sign the release, if you are a family that doesn’t go racing together this could be an issue. Get the annual card and you are good to go. If you are a sole custody par-ent or guardian it still is a great idea to get this form sent in.
1/31/2020 1/1/2019 11/2/1957 MX Open A 131 MX 60+ 131 MX 50+ 131 **60+ after Nov 29, 2019DSCC Director HS 50+ 631
A 0
AMA #: 629393 0 0 Gerhard Ward 0 4263 E.4TH RD. 0 MENDOTA IL 61342 0
Off Road Congress
Jay Hall
Off Road Congress
Gerhard Ward
Road Congress
George Barrington
ATV Congress
Kevin Johnson
Legislative Officer
Jay Hall
A.B.A.T.E. Of Illinois
John Harris
Card Issuer& Card Processor
Patty Ward
President AJ Waggoner
V President Ryan Moss
Secretary Lexi Bedford
Treasurer Patty Ward
Dirt Track/Ice Mike Bender
Enduro Ben Bradford
Road George Barrington
Hillclimb Matt Peters
Hare Scrambles Jay Hall
MX /SX Gerhard Ward
Trials Eric Miller
GP Nick Balzer
Officers & Directors for 2020
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1 Birth date
Memo field: This information in this area is consid-
ered “special”.
Classification Field: This could be Y for youth, Q for 4-Wheel riders, and their classification A, B, C. i.e.: (“YB” means they
are a youth rider in the B classification.)
AMA Number field: If it has “TEMP” it is a temp. number because We did not have a current AMA number at the time
of processing. THIS IS NOT a temp card!
Riders name and address
Event, Class and the number that should be on the bike. Please Ignore the “0”s below the assigned number fields this
is simply a formatting issue.
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3.
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5.
6.
Please note if your card has a “TEMP” #, this is still your d-17 card, we just need your AMA number,
DO NOT THROW THIS CARD AWAY! Distrct 17 Card is made out of heavy paper.
1. Date Signed Up Expiration Date Birth date
Explanation of the District `17 card: SAMPLE CARD
REVISED 1/3/2020
NAME ____________________________________________________ Last First Middle
ADDRESS ____________________________________________ CITY_______________________________ STATE______ ZIP______________ PHONE( _____ )_______________________ Area Code Age__________ Date of Birth_______________________ DRIVER’S License #_____________________________________ E-Mail Address__________________________________________
PLEASE READ CAREFULLY In consideration of being granted an amateur competition number and in consideration of being permitted to enter competi-
tion events, during the current racing year from 1/1/2020 to 1/31/2021, sanctioned by the American Motorcyclist Associa-
tion and under the rules of The District 17 AMA Club Council.
I hereby release, and agree to hold harmless the American Motorcyclist Association, the promoters, the owners and lessees of
the premises, the participants, and the officers, directors, officials, representatives, agents and employees of all of them, of
and from all liability, loss, damage or injury (including death) to my person or property, in any way resulting from, or arising
in connection with all District 17 events, and whether arising while engaged in competition or in practice or preparation
there for, or while upon, entering or departing from said premises, from any cause whatsoever. I know the risk and danger to
myself and property while upon said events, so voluntarily and in reliance, upon my own judgment and ability, and I thereby
assume all risk for loss, damage or injury (including death) to myself and my property from any cause whatsoever.
I understand that a District 17 Card for Amateur Events is subject to American Motorcyclist Association Rules for Competi-
tion and that of District 17 AMA Club Council.
Have You Completely Read This Application? ________
I hereby make oath and say that to the best of my knowledge and belief all statements set forth in this report are true and correct.
X________________________________________ Date Application Signed: ____________________
Rider’s Signature REQUIRED (Sign in Ink Only)
If under 18, Parent signature is required.
Father________________________________________________ Mother _______________________________________
ALL FIRST TIME RIDERS UNDER 18 YEARS OF AGE MUST SEND A COPY OF BIRTH CERTIFICATE
REVERSE SIDE MUST BE COMPLETED OR APPLICATION IS VOID
OFFICE USE ONLY
DATE ISSUED________________________
PAID _____________STKR_____________
New
Club/Promoter ______________________
DISTRICT 17 AMA CLUB COUNCIL, INC.
REGISTRATION APPLICATION Make Checks payable to: District 17 AMA Club Council.
Fill out completely. Please type or print.
AMA Membership must be paid for current year.
ATVA/AMA # _______________ Expires ____________
District 17 number assigned last year___________________
Renewal
NUMBER CHOICE _______ \\\\ DIST 17 STICKERS @ 4 for $1.00 ___ TOTAL AMOUNT ENCLOSED $_______ ( Please note number availability is limited, you may not get desired number)
2020 CYCLE USA EVENT GUIDE INCLUDED ALL FIRST TIME RIDERS UNDER 18 YEARS OF AGE MUST SEND A COPY OF BIRTH CERTIFICATE.
ALL APPLICATIONS MUST HAVE AN AMA NUMBER & BE SIGNED ON FRONT
AGE RESTRICTIONS APPLY FOR 4-Wheel Riders Please refer to Rule Book
ALLOW TWO WEEKS FOR PROCESSING.
NUMBERS WILL NOT BE RESERVED BY PHONE.
LAST YEAR’S NUMBER WILL BE HELD UNTIL MARCH 1st.
Initial Card—Plus One Class $25.00 Cards Purchased after October 1st 2020, will be credited to the following year.
Note: Each Additional Class—$5.00
Class Changes or Additions—$5.00 per card (does not include new card.)
Replacement Card — $5.00
CHECKS OR MONEY ORDERS PAYABLE TO:
DISTRICT 17 AMA CLUB COUNCIL
RETURN APPLICATION TO:
DISTRICT 17 Card Processor
Patty Ward
4263 E 4th Rd.
Mendota, Illinois 61342
815-539-9021
“X” Box below for Points
ENDURO Events
GP Events
HILLCLIMB Events
ROAD Events:
TRIALS Event
ICE RACE Events
STADIUM MX:
0-50cc Class 4 (4-8 yrs)
0-51 cc Jr. (4-6 yrs)
0-51 cc Sr. (7-8 yrs)
59cc-65cc Jr. (7-9 yrs)
59cc-65cc Sr (10-11 yrs)
79-85 cc Jr. (9-11 yrs)
79-85 cc Sr. (12-15 yrs)
79-150cc 12-16(Super Mini)
125cc 250 A 250 B 250 C Open A Open B Open C 14*24 25+ A 25+ B/C 30+ A 30+ B/C
40+ A 40+ B/C 50+ Women ( 99cc-250 12yrs+ )
MOTOCROSS:
0-50cc Class 4 (4-8 yrs)
0-51cc Jr. (4-6 yrs)
0-51cc Sr. (7-8 yrs)
59cc-65cc Jr. (7-9yrs)
59cc-65cc Sr. (10-11 yrs)
79-85cc Jr. (9-11 yrs)
79-85cc Sr. (12-15 yrs)
79-150cc (12-16 Super Mini)
Schoolboy (12-16 yrs )
Schoolboy 2 (14-16yrs)
125cc
250 A
250 B
250 C
Open A
Open B
Open C
14*24
25+ A
25+ B/C
30+ A
30+ B/C
40+ A
40+ B/C
50+ A
50+ B/C
60+
Women (12yr up 99cc-250cc)
Vintage (8 Years & older)
4-Wheel A (Open)
4-Wheel B (Open)
4-Wheel C (Open)
71cc-90cc 4-Wheel (8-15 yrs)
90-300cc 4-Wheel (13-15)
**See rule book for more information
DIRT TRACK:
0-51 Stock Shaft 4-8 yrs
0-51 Stock Chain 4-8 yrs
52cc-65cc 7-11 yrs
66cc-85cc 7-15 yrs
75-125cc 4Strk Air-cooled 7- 11yrs
Super School Boy12yrs & up **
86-160cc 4stroke (Air cooled) Am
12 Yrs and Up 201-250
251-450
250-Open (14 yrs & Over)
Veteran 30+
Senior 40+
Super Senior 50+ Quad Open
450cc Quad
Vintage (1980 older14 Yrs & over)
Youth Quad Jr 6-11 yrs (0cc-65cc 2 stroke/ 0cc-90cc 4 stroke)
Youth Quad Sr 8-15 yrs (60cc-90cc 2 stroke/ 90cc-125cc 4stroke)
400 Quad 13 yrs+
Numbers
will be
assigned
Numbers
will be
assigned
Numbers
will be
assigned
HARE SCRAMBLES:
0-51 cc (4-6 Yrs.)
0-51 cc (7-8 Yrs.)
51-65cc Beg (7-11)
51-65cc (7-11)
66-85cc (9-15)
79-150cc Super Mini (9-15)
AA
98-Open A
98-Open B
98-200 C
201– Open C
30+ A
30+ B
30+ C
40+ A
40+ B 40+ C 50+ A 50+ B/C
60+
Women 80cc-250cc 12 yrs. +
Open 4-Wheel A
Open 4-Wheel B
Open 4-Wheel C
Open 4-Wheel 30+ A/B
Adult Sizes
Small
Medium
Large
XL
XXL
3XL
Tall?
Youth sizes
6-8
10-12
14-16
18-20
Check Box for Award
JACKET SIZE Below.
Please note the clas-
ses to the right of this box are considered just like a number issued class & are
5.00 per type.
REGISTRATION VALID FOR ALL DIST. 17 EVENTS
POINTS WILL BE ISSUED FOR ONLY THE CLASSES YOU INDICATE AND PAY FOR. REGISTRATION CARD AND ONE CLASS = $25.00 ADD $5.00
PLEASE Check the box for CLASSES IN WHICH YOU WISH TO COMPETE IN FOR POINTS. *Family Discount ONLY available prior to March 1st 5.00 off per under 18 yrs. family members from the same address /envelope.