IWA  Online Competition Membership  Form

International Watercross Association

21256 Oak Grove Dr. Pine City MN 55063

Phone 320-629-2911    www.iwausa.org

iwaracing@iwausa.org

    Redirect to the Home Page

 

COMPLETE THE FOLLOWING INFOMATION:  YELLOW BOXES ARE REQUIRED

Check one of the following:         

 RETURNING ANNUAL IWA Member:  raced with in last 2 years

NEW ANNUAL IWA Member:  not raced before or raced greater than 2 years ago  

 WEEKEND IWA Member:  only planning on racing a single event

*If you are a RETURNING ANNUAL member PRIOR to July 20th:  Enter your IWA Sled number in the first box under sled # below. Skip other 2 boxes in that row.  (your last season's bib number will be held until July 20th of current race year.

*If you are a RETURNING ANNUAL member and you sign up AFTER July 20th or are a NEW or WEEKEND member please enter your 1st, 2nd or 3rd choice in the boxes below, if these choices are not available, we will assign you a bib number.   Your sled number from a prior year is not reserved after July 20th and may not be available.

Numbers starting with zero and letters are not allowed unless pre-approved by IWA. You MUST run the number you are assigned.                 

Sled #   Returning members prior to July 20th use only first box, all others place first 3 choices in boxes available.
Sled Make    
First Name  

 Last Name

 

DOB

                              19 

 SSN (Required:  for purse payments)

 

                                                

Email  

By clicking this box I agree that I will update my Address and Phone Data in my SeriesTracker profile and keep up to date    Yes    otherwise complete below

Below 5 lines Only Mandatory if not updated in SeriesTracker

Street Address  
Address (cont.)
City  

 State/Province

 

 Zip/Postal Code

 
Day Phone    

 Evening Phone

 
Mobile Phone    

 Fax

 

Website Information:  if available

Web Site

Complete below if driver is 17yo or younger
Parent Name
Contact Number

MEMBERSHIP FEE: (Please complete choice of hat/decal below)

             

PAYMENT METHOD:  IWA accepts

                 For SeriesTracker-->redirect to membership page for more information after sending this form.

IWA Watercross Accepts credit cards through SeriesTracker by going to membership page.   

 

ANNUAL MEMBERSHIP BENEFITS MUST COMPLETE HAT CHOICE if ANNUAL MEMBER  LIST SPONSORS if changes are needed
1)  You will be allowed to race at all IWA sanctioned events 

2)  You will be allowed to vote at elections

3)  You will be eligible for a meal at the annual banquet 

4)   An IWA hat or decal (make choice to right) with driver number if membership before May 1st

5)  10% discount on all merchandise

6)  name on current IWA T-shirt back

       IWA Competition Membership Waiver Form

Please read and sign below

In consideration of being permitted to compete, officiate, observe, work for, or participate in any way in the event(s) or being permitted to enter for any purpose any restricted area (defined as any area requiring special authorization, credentials, or permission to enter or any area to which admission by the general public is restricted or prohibited), each of the undersigned, for him/herself, legal representatives, heirs, and next of kin:

 1. Acknowledges, agrees, and represents that he/she has or will immediately upon entering any of such restricted areas, and will continuously thereafter inspect the restricted areas, which he/she enters, and he/she further agrees and warrants that, if at any time he/she is in or about restricted areas, and he/she feels anything to be unsafe, he will immediately advise the officials of such and if necessary will leave the restricted areas and/or refuse to participate further in the event(s).

 2. Hereby releases, waives, discharges, and covenants not to sue the IWA, or the promoters, participants, racing associations, sanctioning organizations or any subdivision thereof, track operators, track owners, officials, car owners, drivers, pit crews, rescue personnel, any persons in any restricted area, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the event(s), premises and event inspectors, surveyors, underwriters, consultants and others who give recommendations, directions, or instructions or engage in risk evaluation or loss control activities regarding the premises or event(s) and each of them, their directors, officers, agents and employees, all for the purposes herein referred to as "Releases" from all liability to the undersigned, his legal representatives, assigns, heirs, and next of kin for any and all loss or damage, and any claim or demands therefore on account of injury to the person or property or resulting in death of the undersigned arising out of or related to the event(s), whether caused by any partial or sole negligence of the Releases or otherwise.

 3. Hereby agrees to indemnify and save and hold harmless the Releases and each of them from any loss, liability, damage, or cost they may incur arising out of or related to the event(s) whether caused by any partial or sole negligence of the Releases or otherwise. 

4. Hereby assumes full responsibility for any risk of bodily injury, death or property damage arising out of or related to the event(s) whether caused by the partial or sole negligence of Releases or otherwise.

 5. Hereby acknowledges that the activities of the event(s) are very dangerous and involve the risk of serious injury and/or death and/or property damage. Each of the undersigned, also expressly acknowledges that injuries received may be compounded or increased by negligent rescue operations or procedures of the Releases.

 6. Hereby agrees that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of partial or sole negligence by the Releases, including negligent rescue operations and is intended to be as broad and inclusive as is permitted by the laws of the Province or State in which the Event(s) is/are conducted and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. 

7. Hereby agrees that photographs, video productions and telecasts may be made of the undersigned either alone or together with others, during the race event or at such times or places as IWA and or affiliate shall designate. The undersigned agrees that all rights in such photographs, video productions and telecasts including, but not limited to, rights of sale, reproduction, use and distribution, shall belong to IWA and or a IWA affiliate its successors or assigns, which may make whatever use of such photographs, video productions and telecasts as it or they may desire. The undersigned hereby grant to IWA and or a IWA affiliate, its successors and assigns the non-exclusive right to use the undersigned's name or likeness for any and all commercial benefit and purpose, without limitation, in perpetuity, throughout the universe, in all media whether known or unknown.

 8. Hereby agrees to indemnify and hold harmless IWA or IWA affiliate, and their respective directors, agents, licensees, employees, successors and assigns from and against all claims, liability, loss or expense, including reasonable attorney's fees, which may result from the use of the above.

 9. (Hereby agrees to pay a weekend membership fee of $60 if a completed driver entry form was not submitted by the deadline and/or a IWA membership card is not presented at time of check-in.

 10. Hereby agrees that no good, item, or product (“Product”) of any form or type shall be conveyed, distributed, handed out, gifted, or given away without a charge reasonably related to the value of the Product to any other IWA member, patron, or guest without the prior written consent of the IWA.

 11.  Membership is for 1 (one) racing season only (May through November).  Membership purchased throughout the current race season does not transfer to the following year.

By checking the box below and typing my name, I agree that I have read this release and waiver of liability, fully understand its terms, understand that I have given up substantial right by signing it, and have signed it freely and voluntarily without any inducement, assurance or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to greatest extent allowed by law.  This waiver is in effect for the entire race season and all event during that season of the year this is signed.

*Helmet Standards:  My helmet meets or exceeds Snell 2005 or E.C.E 22.05 standards.

*Life Vest Standards:  My left vest meets or exceeds U.S.C.G 100mph or has 4 (four)-1.5 inch straps and buckles.

Print Member Name:I agree with above waiver       Yes  

Submit form to IWA for processing