If you are experiencing any issues with the form processing, please try another browser.
Download the latest version of one of these popular browsers by clicking the icon or the link below.

Internet Explorer 7 LogoInternet Explorer firefox-512Firefox  Google Chrome icon 2011Chrome

Online Race Entry submission deadline for the Gerald Dyrdahl Memorial Pine Lake 100 is Thursday, Dec. 28, 2017 at 8:00 p.m. CST.

Please register online for each race event or pay an extra $20 at the onsite registration. You can also register online and pay in cash at onsite registration without paying the extra $20 fee.

You Must Register for ISR/USAC to Race. Click Here to Register for ISR/USAC.

I-500 Class is NOT open to Pro class drivers except in the Seven Clans I-500 race.

For questions on registration or payments please call, text or email Kyrsten at 218-779-5268, This email address is being protected from spambots. You need JavaScript enabled to view it..

2017-2018 USXC 2 Day Race Entry Form

Race Location(*):
Please select a race class
Transponder #(*):
Please enter Transponder number, if renting a transponder enter "Rent"
Bib Number(*):
Please enter a Bib Number

Class (select classes) (*):































Select Classes

* Vintage, Classic IFS and Junior classes race Saturday only - 1 day races.

* Enter 2 Classes and save! - You can enter 2 classes at a discounted rate by using the last 8 items above.

* All racers MUST have USAC/ISR participant accident insurance policy in effect for 2017/2018 season to race.

* All Photos and Videos, Helmet Cams, etc., are the property of USXC. They cannot be used commercially or publicized without written permission from USXC.

    Enter a Transponder number, if renting a transponder enter "Rent"
Last Name (*):
Please enter a First Name
First Name (*):
Please enter a First Name
M.I. (*):
Please enter a Middle Initial
ISR#(Mandatory):
Invalid Input
Address (*):
Invalid Input
City (*):
Invalid Input
State/Prov. (*): Zip(*):
- Invalid Input Invalid Input
Date of Birth (*):
Invalid Input 
Phone (*):
Invalid Input
Cell Phone:
Invalid Input
Emergency Contact (*)

Invalid Input
Emergency Number (*)
Emergency Contact Number
Email Address(*):
Invalid Input
Sled:
Invalid Input
 Model (*):
Invalid Input
 Year (*):
Invalid Input

 *THE FOLLOWING ITEMS ARE REQUIRED (NO EXCEPTIONS)
PLEASE INDICATE IF YOU WILL NEED TO RENT ITEMS FROM USXC

ISR Approved Chest guard ($20): Invalid Input Your InitialsInvalid Input I need to rent
Invalid Input
AMB MX Transponder ($25): Invalid Input Your InitialsInvalid Input I need to rent

Invalid Input
(If rented transponder is not returned, your Credit Card will be charged $250)
* A SNELL 2010/ECE 22.05 certified helmet is required, but not available for rent. Initial that your helmet meets requirement: Invalid Input   *Junior & Women - The first race is no charge for someone racing for the first time with USXC.
Add Insurance (Mandatory for everyone):


Please check on of the insurance options.   
Add Weekend Membership (if you're not a USXC season member):


Invalid Input   

Total Amount Due

0.00 USD      

 

Release and waiver of Liability and Indemnity Agreement

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, acknowledges, agrees and represents that he has, or will immediately upon entering any of such restricted areas and will continuously thereafter, inspect such restricted area and that he finds and accepts the same as being safe and reasonably suited for the purpose of his use, and further agrees and warrants that if, at any time, he is in or about restricted areas and he feels anything to be unsafe, he will immediately advise the officials of such and will leave restricted areas: 1.Hereby releases, waives, discharges and Covenants not to sue the USXC, the promoter, participants, racing association, sanctioning organization or any subdivision thereof, track operator, track owner, officials, owners, drivers, pit crews, any persons in restricted area, promoters, sponsors, advertisers, owners and lessees of premises used to conduct the event and each of them, their officers and employees, all for the purposes herein referred to as Releasees , from all liability to the undersigned, his personal representatives, assignees, heirs, and next of kin for any and all loss damage, and any claim or demands therefore on account of injury to the person or property or resulting in the death of the undersigned, whether caused by the negligence of the Releasees or otherwise while the undersigned is in or upon the restricted area, and/or competing, officiating in, observing, working for, or for any purpose participating in the event. 2. Hereby agrees to Indemnify and Save and Hold Harmless and the Releasees and each of them from any loss, liability, damages or cost they may incur due to the presence of the undersigned in or upon the restricted area or in anyway competing, officiating, observing, or working for, or any purpose participating in the event and whether caused by the negligence of the Releasees or otherwise. 3. Hereby Assumes Full Responsibility for and Risk of Bodily Injury, Death or Property Damage due to the negligence of Releasees or otherwise while in or upon the restricted area and/or while competing, officiating, observing, or working for or for any purpose participating in the event. Each of the Undersigned expressly acknowledges and agrees that the activities of the event are very dangerous and involve the risk of serious injury and/or death and/or property damage, each of the undersigned further expressly agrees that the foregoing Release, Waiver and Indemnity Agreement is intended to be as broad and inclusive as permitted by the Law of the Province or State in which the event is conducted and that if any portion thereof is held invalid, it is agreed that the balances shall, not withstanding, continue in full legal force and effect. Each of the Undersigned agrees that he or she will be physically able to withstand the rigors of XC racing and that he or she has no medical issues that would jeopardize themselves or someone else. Each of the Undersigned agrees they will not consume any alcoholic beverage or mind-altering drugs before or during the event. Each of the Undersigned agrees that in the event of an accident or injury they consent to a drug test. THE ABOVE ENTRANT HAS READ AND VOLUNTARILY AGREES TO THE RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, AND FURTHER AGREES THAT NO ORAL REPRESENTATIONS, STATEMENTS OR INDUCEMENTS APART FROM THE FOREGOING WRITTEN AGREEMENT HAVE BEEN MADE.

Please enter letters you see Please enter letters you see RefreshInvalid Input

Invalid Input By clicking here and clicking "submit" below, I, Invalid Input (Please enter your full legal name. If the driver is under 18, this will be the signature of the Parent/Legal Guardian.) verify that the information I have submitted is true and accurate.
(Note: Once you check above and click submit, you will be digitally signing this form. You will not be able to edit this form again.)