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Amped Racer Registration
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Amped Racer Registration
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Step
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Venue
*
Amped Electric Games 2023
Name
*
First
Last
Email
*
Email
Confirm Email
Phone
City / State
*
e.g. Springville, UT
Age Group
Under 13
13-17
18-49
50+
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 workshops you plan to attend
Friday 1:00 – 2:30 PM Coler Mountain Intro To Trail Riding with Zac Darnell and assisted by Chance Hinz
Friday 1:00 – 2:50 PM EXWAY Indoor Track Intro 2 Racing Douglas Marshall and Mario Chacon
Friday 1:00 – 2:50 PM Grizzla Jump Zone Intro 2 Jumping with Mike Leahy & Nadia Mura
Friday 2:00 – 2:50 PM REVRides Learn & Ride Backwards Riding with Greg Ingram
Friday 2:00 – 2:50 PM REVRides Learn & Ride Freestyle Infinity with Chapeaux.de.roue
Friday 2:00 – 2:50 PM NAZ-T’s Dust Bowl Group Riding Etiquette with Brett Brownlee
Friday 2:00 – 2:50 PM NAZ-T’s Dust Bowl Inertia and Transition Physics with Cricket
Friday 3:00 – 3:50 PM REVRides Learn & Ride Rock in Place with James Darnell
Friday 3:00 – 3:50 PM NAZ-T’s Dust Bowl Insta360 How to create better content with Corey Smith
Friday 3:00 – 3:50 PM NAZ-T’s Dust Bowl Intro 2 Electrical Devices with Declan (@godmod)
Saturday 12:00 – 1:00 PM Coler Mountain “Intro To Trail Riding” with Zac Darnell / Chance Hinz
Saturday 1:30 – 2:30 PM Begode Oval Track “Intro To Racing” with Douglas Marshall / Mario Chacon
Saturday 1:30 – 2:30 PM REVRides Learn & Ride Building “Freestyle Infinity II” with Chapeaux.de.roue
Saturday 1:30 – 2:30 PM REVRides Learn & Ride Building “Backwards Riding” with Greg Ingram
Saturday 1:30 – 2:30 PM NAZ-T’s Dust Bowl “Intro 2 Electrical Devices” with Declan (@godmod)
Saturday 1:30 – 2:30 PM Begode Oval Track “Managing Wobbles Workshop” with Landy Sun
Select the Races you plan to participate in
Circuit Oval Track EUC
Circuit Oval Track Scooter
Downhill Off-Road EUC
Downhill Off-Road OneWheel
Drag Race
Indoor Track ESK8
Indoor Track EUC
Slow Race
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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
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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.
Check below if you have you been in contact with anyone with COVID
Yes
Or check if you are symptomatic with cold/flu.
Signature
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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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