2019 FirePoliceMX Nationals - Glen Helen 2&3

Monday - Motocross - 2 motos

Tuesday - Motocross - 2 motos

You may drop down in age, but not in skill level. Your age as of December 31st will determine your age for the entire season.

Pre-Register by October 4th and save $10 per Class. This form will not be available after 11:55pm on October 4th.

Rider Information

First Name *

Last Name *

Address *

City *

State *

Zip Code *

Email Address *

Confirm Email *

Cell Phone * - -

Home Phone - -

Age (as of Dec 31) *

Department

Badge ID

Bike Brand *

Bike Number *

Round 2 Monday, October 7th, 2019

FPMX Expert

FPMX Expert Open Age - Natl' Champ Class - Day 1 [$40.00]

Racing Number

Brand

FPMX Expert 18-39 Day 1 [$40.00]

Racing Number

Brand

FPMX Expert 40-49 Day 1 [$40.00]

Racing Number

Brand

FPMX Expert 50-59 Day 1 [$40.00]

Racing Number

Brand

18-39 Exp/Open Exp Day 1 (2 class Combo) [$60.00]

Racing Number

Brand

40-49 Exp/Open Exp Day 1 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Exp/Open Exp Day 1 (2 class combo) [$60.00]

Racing Number

Brand

FPMX Intermediate

FPMX Open Intermediate Day 1 [$40.00]

Racing Number

Brand

FPMX Intermediate 18-39 Day 1 [$40.00]

Racing Number

Brand

FPMX 40-49 Int day 1 [$40.00]

Racing Number

Brand

FPMX 50-59 Int Day1 [$40.00]

Racing Number

Brand

18-39 Int / Open Int rd 1 (2 class combo) [$60.00]

Racing Number

Brand

40-49 Int / Open Int Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Int / Open Int Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

FPMX Novice

FPMX Novice Open Age Day 1 [$40.00]

Racing Number

Brand

FPMX Novice 18-39 Day 1 [$40.00]

Racing Number

Brand

FPMX Novice 40-49 Day 1 [$40.00]

Racing Number

Brand

FPMX Novice 50-59 Day 1 [$40.00]

Racing Number

Brand

18-39 Nov / Open Nov Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

40-49 Nov / Open Nov Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Nov / Open Nov Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

FPMX Beginner

FPMX Beginner Open Age Day 1 [$40.00]

Racing Number

Brand

FPMX Beginner 18-39 Day 1 [$40.00]

Racing Number

Brand

FPMX Beginner 40-49 Day 1 [$40.00]

Racing Number

Brand

FPMX Beginner 50-59 Day 1 [$40.00]

Racing Number

Brand

18-39 Beg/Open Beg RD1(2 class combo) [$60.00]

Racing Number

Brand

40-49 Beg / Open Beg Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Beg / Open Beg Rd 1 (2 class combo) [$60.00]

Racing Number

Brand

FPMX Open age/ Ability

Two Stroke Only - Day 1 [$40.00]

Racing Number

Brand

FPMX 60+ Day 1 [$40.00]

Racing Number

Brand

70+ Day 1 [$40.00]

Racing Number

Brand

FPMX Dual Sport Day 1 [$40.00]

Racing Number

Brand

FPMX FIRST TIME BEGINNER Day 1 [$30.00]

Racing Number

Brand

FPMX UTV Day 1 [$40.00]

Racing Number

Brand

Youth Support Classes (Civilian)

50cc Day 1 FREE

Racing Number

Brand

65cc Day 1 FREE

Racing Number

Brand

85cc Day 1 Free

Racing Number

Brand

Support 125cc and Up (Civilian)

Open support all skill levels Day 1 [$40.00]

Racing Number

Brand

Beginner support Day 1 [$40.00]

Racing Number

Brand

Novice support Day 1 [$40.00]

Racing Number

Brand

Intermediate support Day 1 [$40.00]

Racing Number

Brand

Expert support Day 1 [$40.00]

Racing Number

Brand

Beg/Open Support Day 1 (2 class combo) [$60.00]

Racing Number

Brand

Nov/Open Support Day 1 (2 class combo) [$60.00]

Racing Number

Brand

Int/Open Support Day 1 (2 class combo) [$60.00]

Racing Number

Brand

Exp/Open Support Day 1 (2 class combo) [$60.00]

Racing Number

Brand

Support Dual Sport Day 1 [$40.00]

Racing Number

Brand

Support UTV Day 1 [$40.00]

Racing Number

Brand

Round 3 , Tuesday, October 8th, 2019

FPMX Expert

FPMX Expert Open Age - Natl' Champ Class - Day 2 [$40.00]

Racing Number

Brand

FPMX Expert 18-39 RD2 [$40.00]

Racing Number

Brand

FPMX Expert 40-49 RD2 [$40.00]

Racing Number

Brand

FPMX Expert 50-59 RD2 [$40.00]

Racing Number

Brand

18-39 Exp / Open Exp RD2 (2 class combo) [$60.00]

Racing Number

Brand

40-49 Exp/Open Expert RD2 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Exp / Open Exp RD2 (2 class combo) [$60.00]

Racing Number

Brand

FPMX Intermediate

FPMX Intermediate Open Age RD2 [$40.00]

Racing Number

Brand

FPMX Intermediate 18-39 RD2 [$40.00]

Racing Number

Brand

FPMX Intermediate 40-99 RD2 [$40.00]

Racing Number

Brand

FPMX Intermediate 50-59 RD2 [$40.00]

Racing Number

Brand

18-39 Int / Open Int RD2 (2 class combo) [$60.00]

Racing Number

Brand

40-49 Int/Open Int RD2 (2 class combo) [$60.00]

Racing Number

Brand

50-59 Int/Open Int Rd2 (2 Combo Class) [$60.00]

Racing Number

Brand

FPMX Novice

FPMX Novice Open Age RD2 [$40.00]

Racing Number

Brand

FPMX Novice 18-39 RD2 [$40.00]

Racing Number

Brand

FPMX Novice 40-49 RD2 [$40.00]

Racing Number

Brand

FPMX Novice 50-59 RD2 [$40.00]

Racing Number

Brand

18-39 Nov/OpenNov RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

40-49 Nov/Open Nov RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

50-59 Nov/Open Nov RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

FPMX Beginner

FPMX Beginner Open Age Day 2 [$40.00]

Racing Number

Brand

FPMX Beginner 18-39 Day 2 [$40.00]

Racing Number

Brand

FPMX Beginner 40-49 Day 2 [$40.00]

Racing Number

Brand

FPMX 50-59 Beg Day 2 [$40.00]

Racing Number

Brand

18-39 Beg/Open Beg RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

40-49 Beg/Open Beg RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

50-59 Beg/Open Beg RD2 (2 Class Combo) [$60.00]

Racing Number

Brand

FPMX Open Age/ Ability

Two Stroke Only - Day 2 [$40.00]

Racing Number

Brand

FPMX 60+ Day 2 [$40.00]

Racing Number

Brand

70+ Day 2 [$40.00]

Racing Number

Brand

FPMX Dual Sport Day 2 [$40.00]

Racing Number

Brand

FPMX FIRST TIME BEGINNER Day 2 [$30.00]

Racing Number

Brand

FPMX UTV Day 2 [$40.00]

Racing Number

Brand

Youth Support Classes (Civilain)

50cc Day 2 FREE

Racing Number

Brand

65cc Day 2 FREE

Racing Number

Brand

85cc Day 2 FREE

Racing Number

Brand

Support 125cc and Up (Civilian)

Beginner support Day 2 [$40.00]

Racing Number

Brand

Novice support Day 2 [$40.00]

Racing Number

Brand

Intermediate support Day 2 [$40.00]

Racing Number

Brand

Expert support Day 2 [$40.00]

Racing Number

Brand

Open Support Day 2 (Beg-Exp) [$40.00]

Racing Number

Brand

Beg/Open Support Day 2 (2 class combo) [$60.00]

Racing Number

Brand

Nov/Open Support Day 2 (2 class combo) [$60.00]

Racing Number

Brand

Int/Open Support Day 2 (2 class combo) [$60.00]

Racing Number

Brand

Exp/Open Support Day 2 (2 class combo) [$60.00]

Racing Number

Brand

Support Dual Sport Day 2 [$40.00]

Racing Number

Brand

Support UTV Sport Day 2 [$40.00]

Racing Number

Brand

Total $0.00

Billing Information

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Terms & Conditions

Fire & Police Motocross Nationals Terms Of Use.

I HEREBY GIVE UP ALL MY RIGHTS TO SUE OR MAKE ANY CLAIM FOR DAMAGES DUE TO NEGLIGENCE OR ANY OTHER REASON WHAT SO EVER AGAINST THE FIRE & POLICE MOTOCROSS NATIONALS, THE PROMOTERS, TRACK OWNERS, SPONSORS, EMPLOYEES AND ALL OTHER PERSONS, PARTICIPANTS, OR ORGANIZATIONS CONDUCTING OR CONNECTED WITH THIS EVENT FOR INJURY TO PROPERTY OR PERSON I MAY SUFFER, INCLUDING CRIPPLING INJURY OR DEATH, WHILE PARTICIPATING IN THE EVENT AND WHILE UPON EVENT PREMISES.
I, MYSELF, MY PERSONAL REPRESENTATIVES, MY HEIRS, ANY MY NEXT TO KIN, ACKNOWLEDGE THAT THE FIRE & POLICE MOTOCROSS NATIONALS CANNOT ASSUME RESPONSIBILITY FOR ANY ASPECT OF MY SAFETY AND IF I PARTICIPATE IN ANY EVENT WITH THE FIRE & POLICE MOTOCROSS NATIONALS I DO SO VOLUNTARILY ON MY OWN ASSESSMENT OF MY ABILITY, THE COURSE, AND ALL RELATED FACILITIES AND CONDITIONS.
I UNDERSTAND THAT MY ENTRY FEE DOES NOT IN ANY WAY INCLUDE OR GUARANTEE ME TO ANY INSURANCE COVERAGE OF ANY KIND.
I KNOW THE RISKS AND DANGER TO MYSELF AND MY PROPERTY WHILE PREPARING FOR AND PARTICIPATING IN THE EVENT AND WHILE UPON THE EVENT PREMISES AND RELYING UPON MY OWN JUDGEMENT AND ABILITY, I ASSUME ALL SUCH RISKS OF LOSS. I STATE THAT ALL THE ABOVE INFORMATION I HAVE PROVIDED TO THE FIRE & POLICE MOTOCROSS NATIONALS IS TRUE AND IF ANY INFORMATION HAS BEEN FALSIFIED OR DENIED THE FIRE & POLICE MOTOCROSS NATIONALS HAS THE RIGHT TO DISQUALIFY ME AT ANY TIME DURING THIS EVENT.
I HAVE READ THE ABOVE RELEASE FORM AND FULLY UNDERSTAND NO REPRESENTATIVE OF THE FIRE & POLICE MOTOCROSS NATIONALS, THE PROMOTERS, THE TRACK OWNERS, THE SPONSORS, OR ANY PERSONS CONNECTED WITH THIS EVENT MAY VARY THE TERMS OR PROVISIONS OF THIS RELEASE FORM OR MAKE ANY REPRESENTATIONS CONTRARY TO THOSE LISTED ABOVE.

REFUND POLICY:

ANYONE DESIRING A REFUND MUST EMAIL FIREPOLICEMX@AOL.COM ONE WEEK (7 DAYS) PRIOR TO THIS EVENT. IN CERTAIN CASES (INJURY, ETC.) WITHIN THE 7 DAY PERIOD RIDERS ENTRY FEE CAN BE TRANSFERED TO A FUTURE EVENT. PLEASE EMAIL ABOVE ADDRESS TO TRANSFER ENTRY.

I agree to the terms above