Instructions:

Fill out the form below on your computer and click Print out. Sign and return the completed form with check or money order for $50 (do not mail cash) made payable to Stumpjumpers M.C.

  • Completed form and payment must be received by March 20th. Incomplete or late forms will be returned.
  • Got questions, email: desert100@stumpjumpers.org
  • Mail to the address:

Stumpjumpers Motorcycle Club
C/O Debbie Tonsgard
7929 31st Ave NE
Marysville, WA 98271

NOTE: Pre-Entry is only for Sunday Race. All other events must be entered at race site.    

First Name:


Last Name:


Street Address:


City:


State:


Zip Code:


Phone:


Email:


Bike Make:


Engine Size:


Choose Class:

TEAM ENTRIES: Entry fee is $50 per team member. Please try to mail entries together or at least include the name of your team mate with your entry.

THIS IS A RELEASE AND INDEMNITY AGREEMENT – READ BEFORE SIGNING
I hereby give up all my rights to sue or make claim whatsoever against the Stumpjumpers Motorcycle Club, the promoters, sponsors and all other person or organizations conducting or connected with this event for any injury to property or person I may suffer, including crippling injury or death, whether such injury arises while I am preparing for or participating in the event or while I am upon the event premises. I know the risks of danger to myself and my property while participating in the event and while upon the event premises and, and relying upon my own judgment and ability, assume all such risks of loss and hereby agree to reimburse all costs to those persons or organizations connected with this event for damages incurred as a result of any injury I cause or receive.

Signature : _______________________________________ Date: _________

Signature of Parent : _______________________________________ Date: _________
(if age under 18)

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