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Sierra Chapter OTHG New & Returning Member
Sign-up & Renewal DIGITAL Application with Credit Card Payment

Full Name:
Street Address:
Street Address 2:
City:
Email:
Cell Phone:
Emergency Contact Number:
Transponder #:
Birth Date:
Age Group:
+30
+38
+45
+52
+58
Rider Level:
Beginner
Novice
Intermediate
Expert
Master
Master/AMT
Women:
Beginner
Novice
Intermediate
Expert
+65:
Novice
Intermediate
Expert
 

NEW MEMBERS: Race Number Requested:
List your 1st, 2nd, 3rd & 4th choices:

RENEWALS / RETURNING MEMBERS:
Please select one of the choices:

I earned a Top 25 number and I will use it. I also want to reserve my non-top 25 2018 race number.
I will keep my non-top 25 race number.
I will choose a new non-top 25 race number.

Please enter your earned Top 25 number:

Please enter your current race number that you are keeping:

If choosing a new non-top 25 number,
enter your 1st, 2nd, 3rd and 4th choices here:

**Note: Your 2018 number will be released as "available" to other members if your 2019 dues are not paid by January 31st, 2019.
Membership Cost:  
Annual Membership Payment:
$40 + $2.50 convenience fee
Quantity
  Total: $42.50
  TERMS: UNDER THE ARTICLES AND BYLAWS OF THE OVER THE HILL GANG (”OTHG”) ASSOCIATION, I HEREBY AGREE TO CONFORM TO AND COMPLY WITH ALL THE RULES GOVERNING ALL THE COMPETITIVE EVENTS WHILE PARTICIPATING AS A MEMBER OF THE OTHG ASSOCIATION. I FURTHER AGREE TO HOLD HARMLESS THE OFFICERS AND MEMBERS OF THE OTHG ASSOCIATION , AND PROPERTY OWNERS FOR ANY LOSS OR INJURY TO MYSELF, MY PROPERTY OR ANY FAMILY MEMBER ACCOMPANYING ME TO A COMPETITIVE EVENT. I DO ALSO AGREE TO ASSUME RESPONSIBILITY FOR ANY PROPERTY DAMAGE WHICH I KNOWINGLY INITIATE.

I FURTHER AGREE NOT TO ADDRESS ANY RACE PROMOTER ON RACE DAY WITH COMPLAINTS OR CONCERNS AND WILL INSTEAD DISCUSS ANY ISSUES WITH THE OTHG RACE DIRECTORS OR OTHER BOARD MEMBERS. I UNDERSTAND THAT IF I ADDRESS ANY RACE PROMOTER, I WILL BE DOCKED A LAP FOR EACH MOTO.


By clicking the "Buy Now" button, I agree to the terms stated above:.

(Credit / Debit Card Payments processed through PayPal)

 

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