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Amped Racer Registration
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Amped Racer Registration
Please complete the following to create your Amped Electric Games Racer Profile.
This information will be used to announce you on the live stream and the public announcement system.
Please enable JavaScript in your browser to complete this form.
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Step
1
of 4
Venue
*
Race-N-Ride at AVS
Name
*
First
Last
Nickname
What do you go by? e.g. WheelieBrady, CloakedInDeath, TurboNYC
Email
*
Email
Confirm Email
Bib Number
Please provide if you know it.
Phone
City / State
*
e.g. Springville, UT
Your Photo (optional)
Click or drag a file to this area to upload.
Upload a photo if you would like your photo to appear in the live stream or standings screens.
Social Media
Your social media e.g. Instagram, Youtube, Tiktok, Threads
Next
Checkboxes
ESK8
OneWheel
EUC
e-Bike
e-Scooter
Hover shoes
Please tell us which type of vehicle you plan to race
What type of riding do you normally do
Off-road, on road, jumps
Select the Races you plan to participate in
EUC
ESK8
Scooter
Team Relay
Trike
Next
Team name, group, community name
If you race for a team please enter it here. e.g. RevRides, Eevees, if you have a local riding group or community enter it here
Your Sponsors
If you have sponsors you would like us to mention please enter them above e.g. Clark Pads, GOD+MOD
Next
Updating preview…
This is a preview of your submission. It has not been submitted yet!
Please take a moment to verify your information. You can also go back to make changes.
Check below to accept the following waiver (required to participate)
*
I agree
In consideration of being allowed to participate in and/or observe electric vehicle jumping and racing (collectively referred to as “Games”) with Amped Electric Games, LLC, an Arkansas limited liability company (“AEG”), the undersigned participant freely and voluntarily acknowledges and agrees that:the risk of any and all injury to the undersigned from participation in or observance of one or more of the Games does in fact exist; the undersigned knowingly and freely assumes all such risk, both known and unknown to the undersigned, even if such risk or injury arises from the negligence of AEG or its employees, agents, officers, contractors or owners (“Releasees”); all Releasees are hereby and shall forever be indemnified, released and held harmless by the undersigned and all of his or her heirs, assigns, personal representatives and next of kin with respect to any and all injury, disability, loss or damage to person or property sustained by the undersigned, whether arising from the negligence of the Releasees, AEG or its employees, agents, officers, vendors, sponsors, event partners, contractors or owners, or otherwise, in connection with the undersigned’s participation in and/or observation of, or in any way related to one or more of the Games; and the Releasees and it's partners may record videos and take photographs of the undersigned at the Games and may use such videos and photographs in any media format, broadcast, or platform.I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS AND MEANING.
Signature
*
Clear Signature
By signing above you agree to allow Amped Electric Games to broadcast and use this information in reference to your racer profile for the purpose of the live stream and related post-produced content.
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