NESC Membership Application

NESC Membership Application - 2021

Please complete the form below Please note parent or guardian of riders under 18 must still sign and have notarized an NESC short release. Online price includes an additional 2.00 credit card processing fee.
Submitting this form will send your info and payment to the NESC, you will then be issued an NESC number.

Youth riders will be issued a number only after this short release has been signed and notarized.

Please either mail the release to the NESC office or bring it to the NESC at a track.
NESC
P.O. Box 609
North Berwick, ME 03906

If you would rather mail in your application please use this form instead.
Renewal *

Yes I was a member in 2020 No (New Member)
Classification *
Transponder # *
2020 Rider #
First Number Choice *
Second Number Choice *
Third Number Choice *
To retain your 2020 Number proper forms and fees must be postmarked by January 31, 2021.

Note: Membership fees do not include the transponder. All members must provide us with the Mylaps number before we process your application. If you do not own a transponder you must order one at www.mylaps.com. You must have one to ride with NESC. If you own a Flex or X2 transponder, be sure you have it activated before your first race. We do not rent transponders to members.

ALL FORMS WITH MISSING OR INCOMPLETE INFORMATION WILL BE RETURNED UNPROCESSED.
Racer Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Home Phone *
Cell Phone
E-mail *
Date of Birth *

Month Day Year
If you are signing up a rider under 18 please fill out this form and have it notarized. We need to have the form BEFORE we can issue you rider a card.

Mail it to:
NESC
P.O. Box 609
North Berwick, ME 03906

Or bring it to the track if you'll be picking up your card there
Proof of age (required for all new NESC members)

Browse Files
Scans or phone pictures of birth certificates Cancel of
Bike Brand *
Bike Brand
What classes do you intend to race in 2021? Check all that Apply. *

50cc 65cc 85cc 9-11 85cc 12-15 Supermini 9-16 Youth 12-18 250 450 Open 250 A 250 Pro 450 A 450 Pro Female Vet 25+ Vet 30+ Vet 40+ Vet 45+ Vet 50+ Vet 55+ Vet 60+
What is your highest rider classification *
What is the highest rider classification you have held in the N.E.S.C?
What year
Last riding number(s)
If you ride/rode at non-NESC events, what classification and organization(s) do/did you ride with, please explain.
Signature of rider *
*All youth riders (18 and under) will be assigned numbers followed by a “y”. You must use the “y” as part you’re your number.

Some vet riders will have a “V” assigned as part of their number. Y’s and V’s must appear on your bike plates. If your NESC card has a letter after the number, then you MUST use it.

**Copies of birth certificates/driver’s licenses are only required for new applicants to the N.E.S.C. for 2021 who did not join in 2020.

Please bring these to the track for verification in person.

***False or misleading statements and or answers on this or any other entry or NESC form(s) may result in rider suspension and or disqualification.

Rider classification changes made within other organizations must be reported in writing or email to the N.E.S.C. within 10 days of the change. Send email to office@nescmotocross.com

The promoters and or the New England Sports Committee do not provide medical insurance coverage. Each participant must provide his/her own and must show written proof of such coverage in order to be eligible to ride.
Emergency Contact Information *

First Name Middle Name Last Name
Relationship *
Phone Number *
Cell Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I agree to conform to and comply with all rules set forth by the New England Sports Committee (“NESC”) and promoting organizations.

I hereby release the NESC, its officers, members, agents, representatives and officials. All events officials and all promoting organizations and their respective members, officers and officials, the owner(s) of the premises or any officers thereof and other riders and mechanics, from any and all liability, loss, damage, costs, claims and or causes of action, including but not limited to all bodily injuries and property damage arising out of my participation in any event sanctioned by the NESC, and I assume responsibility for all expenses for physicians, ambulances, hospitals and other medical expenses and any other loss or injury to me and or personal property which I may sustain by reason of my participation in any NESC sanctioned event.

MEMBERSHIP FEES
Members must own Mylaps transponders:

First rider $100. Each additional rider in the same household $75.

By mail: post marked after 1/31/21 $100.00 Additional members per household with transponders $75.00 each

All memberships at tracks: $100 NO FAMILY DISCOUNTS AT TRACKS

Please mail forms to: N.E.S.C. PO BOX 609
North Berwick, ME 03906
Yes, I agree to comply with all the NESC rules. *

Yes
Signature of Rider *
Enter name
Date *

Month Day Year
Date
If under 18 Signature of parent or guardian
Signature of guardian
Add a second rider? *

Yes No
NESC Membership Application - 2021 for second rider

Please complete the form below Please note riders and or parent or guardian must still sign and have notarized an NESC release.
Submitting this form will send your info to the NESC, you will be issued a NESC number after payment has been made to the NESC at a track and after the release has been signed and notarized.
Renewal *

Yes No (New Member)
Classification *
Transponder # *
2019 Rider #
First Number Choice *
Second Number Choice *
Third Number Choice *
To retain your 2020 Number proper forms and fees must be postmarked by January 31, 2021.

Note: Membership fees do not include the transponder. All members must provide us with the Mylaps number before we process your application. If you do not own a transponder you must order one at www.mylaps.com. You must have one to ride with NESC. If you own a Flex or X2 transponder, be sure you have it activated before your first race. We do not rent transponders to members.

ALL FORMS WITH MISSING OR INCOMPLETE INFORMATION WILL BE RETURNED UNPROCESSED.
Racer Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone *
Cell Phone
E-mail *
Date of Birth *

Month Day Year
If you are signing up a rider under 18 please fill out this form and have it notarized.

Mail it to:
NESC
P.O. Box 609
North Berwick, ME 03906

Or bring it to the track if you'll be picking up your card there
Proof of age (required for all new NESC members)

Browse Files
Scans or phone pictures of birth certificates Cancel of
Bike Brand *
Bike Brand
What classes do you intend to race in 2021? Check all that Apply. *

50cc 65cc 85cc 9-11 85cc 12-15 Supermini 9-16 Youth 12-18 250 450 Open 250 A 250 Pro 450 A 450 Pro Female Vet 25+ Vet 30+ Vet 40+ Vet 45+ Vet 50+ Vet 55+ Vet 60+
What is your highest rider classification *
What is the highest rider classification you have held in the N.E.S.C?
What year
Last riding number(s)
If you ride/rode at non-NESC events, what classification and organization(s) do/did you ride with, please explain.
Signature of rider *
*All youth riders (18 and under) will be assigned numbers followed by a “y”. You must use the “y” as part you’re your number.

Some vet riders will have a “V” assigned as part of their number. Y’s and V’s must appear on your bike plates. If your NESC card has a letter after the number, then you MUST use it.

**Copies of birth certificates/driver’s licenses are only required for new applicants to the N.E.S.C. for 2021 who did not join in 2020.

Please bring these to the track for verification in person.

***False or misleading statements and or answers on this or any other entry or NESC form(s) may result in rider suspension and or disqualification.

Rider classification changes made within other organizations must be reported in writing or email to the N.E.S.C. within 10 days of the change. Send email to office@nescmotocross.com

The promoters and or the New England Sports Committee do not provide medical insurance coverage. Each participant must provide his/her own and must show written proof of such coverage in order to be eligible to ride.
Emergency Contact Information *

First Name Middle Name Last Name
Relationship *
Phone Number *
Cell Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I agree to conform to and comply with all rules set forth by the New England Sports Committee (“NESC”) and promoting organizations.

I hereby release the NESC, its officers, members, agents, representatives and officials. All events officials and all promoting organizations and their respective members, officers and officials, the owner(s) of the premises or any officers thereof and other riders and mechanics, from any and all liability, loss, damage, costs, claims and or causes of action, including but not limited to all bodily injuries and property damage arising out of my participation in any event sanctioned by the NESC, and I assume responsibility for all expenses for physicians, ambulances, hospitals and other medical expenses and any other loss or injury to me and or personal property which I may sustain by reason of my participation in any NESC sanctioned event.

MEMBERSHIP FEES
Members must own Mylaps transponders:

First rider $100. Each additional rider in the same household $75.

By mail: post marked after 1/31/21 $100.00 Additional members per household with transponders $75.00 each

All memberships at tracks: $100 NO FAMILY DISCOUNTS AT TRACKS

Please mail forms to: N.E.S.C. PO BOX 609
North Berwick, ME 03906
Yes, I agree to comply with all the NESC rules. *

Yes
Signature of Rider *
Enter name
Date *

Month Day Year
Date
If under 18 Signature of parent or guardian
Signature of guardian
Add a third rider?

Yes No
NESC Membership Application - 2021 for third rider

Please complete the form below Please note riders and or parent or guardian must still sign and have notarized an NESC release.
Submitting this form will send your info to the NESC, you will be issued a NESC number after payment has been made to the NESC at a track and after the release has been signed and notarized.
Renewal *

Yes No (New Member)
Classification *
Transponder # *
2020 Rider #
First Number Choice *
Second Number Choice *
Third Number Choice *
To retain your 2020 Number proper forms and fees must be postmarked by January 31, 2021.

Note: Membership fees do not include the transponder. All members must provide us with the Mylaps number before we process your application. If you do not own a transponder you must order one at www.mylaps.com. You must have one to ride with NESC. If you own a Flex or X2 transponder, be sure you have it activated before your first race. We do not rent transponders to members.

ALL FORMS WITH MISSING OR INCOMPLETE INFORMATION WILL BE RETURNED UNPROCESSED.
Racer Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone *
Cell Phone
E-mail *
Date of Birth *

Month Day Year
If you are signing up a rider under 18 please fill out this form and have it notarized.

Mail it to:
NESC
P.O. Box 609
North Berwick, ME 03906

Or bring it to the track if you'll be picking up your card there
Proof of age (required for all new NESC members)

Browse Files
Scans or phone pictures of birth certificates Cancel of
Bike Brand *
Bike Brand
What is your highest rider classification *
What is the highest rider classification you have held in the N.E.S.C?
What classes do you intend to race in 2020? Check all that Apply. *

50cc 65cc 85cc 9-11 85cc 12-15 Supermini 9-16 Youth 12-18 250 450 Open 250 A 250 Pro 450 A 450 Pro Female Vet 25+ Vet 30+ Vet 40+ Vet 45+ Vet 50+ Vet 55+ Vet 60+
What year
Last riding number(s)
If you ride/rode at non-NESC events, what classification and organization(s) do/did you ride with, please explain.
Signature of rider *
*All youth riders (18 and under) will be assigned numbers followed by a “y”. You must use the “y” as part you’re your number.

Some vet riders will have a “V” assigned as part of their number. Y’s and V’s must appear on your bike plates. If your NESC card has a letter after the number, then you MUST use it.

**Copies of birth certificates/driver’s licenses are only required for new applicants to the N.E.S.C. for 2021 who did not join in 2020.

Please bring these to the track for verification in person.

***False or misleading statements and or answers on this or any other entry or NESC form(s) may result in rider suspension and or disqualification.

Rider classification changes made within other organizations must be reported in writing or email to the N.E.S.C. within 10 days of the change. Send email to office@nescmotocross.com

The promoters and or the New England Sports Committee do not provide medical insurance coverage. Each participant must provide his/her own and must show written proof of such coverage in order to be eligible to ride.
Emergency Contact Information *

First Name Middle Name Last Name
Relationship *
Phone Number *
Cell Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I agree to conform to and comply with all rules set forth by the New England Sports Committee (“NESC”) and promoting organizations.

I hereby release the NESC, its officers, members, agents, representatives and officials. All events officials and all promoting organizations and their respective members, officers and officials, the owner(s) of the premises or any officers thereof and other riders and mechanics, from any and all liability, loss, damage, costs, claims and or causes of action, including but not limited to all bodily injuries and property damage arising out of my participation in any event sanctioned by the NESC, and I assume responsibility for all expenses for physicians, ambulances, hospitals and other medical expenses and any other loss or injury to me and or personal property which I may sustain by reason of my participation in any NESC sanctioned event.

MEMBERSHIP FEES
Members must own Mylaps transponders:

First rider $100. Each additional rider in the same household $75.

By mail: post marked after 1/31/21 $100.00 Additional members per household with transponders $75.00 each

All memberships at tracks: $100 NO FAMILY DISCOUNTS AT TRACKS

Please mail forms to: N.E.S.C. PO BOX 609
North Berwick, ME 03906
Yes, I agree to comply with all the NESC rules. *

Yes
Signature of Rider *
Enter name
Date *

Month Day Year
Date
If under 18 Signature of parent or guardian
Signature of guardian
Add a fourth rider?

Yes No
NESC Membership Application - 2020 for fourth rider

Please complete the form below Please note riders and or parent or guardian must still sign and have notarized an NESC release.
Submitting this form will send your info to the NESC, you will be issued a NESC number after payment has been made to the NESC at a track and after the release has been signed and notarized.
Renewal *

Yes No (New Member)
Classification *
Transponder # *
2019 Rider #
First Number Choice *
Second Number Choice *
Third Number Choice *
To retain your 2020 Number proper forms and fees must be postmarked by January 31, 2021.

Note: Membership fees do not include the transponder. All members must provide us with the Mylaps number before we process your application. If you do not own a transponder you must order one at www.mylaps.com. You must have one to ride with NESC. If you own a Flex or X2 transponder, be sure you have it activated before your first race. We do not rent transponders to members.

ALL FORMS WITH MISSING OR INCOMPLETE INFORMATION WILL BE RETURNED UNPROCESSED.
Racer Information
Full Name *

First Name Middle Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Home Phone *
Cell Phone
E-mail *
Date of Birth *

Month Day Year
If you are signing up a rider under 18 please fill out this form and have it notarized.

Mail it to:
NESC
P.O. Box 609
North Berwick, ME 03906

Or bring it to the track if you'll be picking up your card there
Proof of age (required for all new NESC members)

Browse Files
Scans or phone pictures of birth certificates Cancel of
Bike Brand *
Bike Brand
What classes do you intend to race in 2021? Check all that Apply. *

50cc 65cc 85cc 9-11 85cc 12-15 Supermini 9-16 Youth 12-18 250 450 Open 250 A 250 Pro 450 A 450 Pro Female Vet 25+ Vet 30+ Vet 40+ Vet 45+ Vet 50+ Vet 55+ Vet 60+
What is your highest rider classification *
What is the highest rider classification you have held in the N.E.S.C?
What year
Last riding number(s)
If you ride/rode at non-NESC events, what classification and organization(s) do/did you ride with, please explain.
Signature of rider *
*All youth riders (18 and under) will be assigned numbers followed by a “y”. You must use the “y” as part you’re your number.

Some vet riders will have a “V” assigned as part of their number. Y’s and V’s must appear on your bike plates. If your NESC card has a letter after the number, then you MUST use it.

**Copies of birth certificates/driver’s licenses are only required for new applicants to the N.E.S.C. for 2021 who did not join in 2020.

Please bring these to the track for verification in person.

***False or misleading statements and or answers on this or any other entry or NESC form(s) may result in rider suspension and or disqualification.

Rider classification changes made within other organizations must be reported in writing or email to the N.E.S.C. within 10 days of the change. Send email to office@nescmotocross.com

The promoters and or the New England Sports Committee do not provide medical insurance coverage. Each participant must provide his/her own and must show written proof of such coverage in order to be eligible to ride.
Emergency Contact Information *

First Name Middle Name Last Name
Relationship *
Phone Number *
Cell Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
I agree to conform to and comply with all rules set forth by the New England Sports Committee (“NESC”) and promoting organizations.

I hereby release the NESC, its officers, members, agents, representatives and officials. All events officials and all promoting organizations and their respective members, officers and officials, the owner(s) of the premises or any officers thereof and other riders and mechanics, from any and all liability, loss, damage, costs, claims and or causes of action, including but not limited to all bodily injuries and property damage arising out of my participation in any event sanctioned by the NESC, and I assume responsibility for all expenses for physicians, ambulances, hospitals and other medical expenses and any other loss or injury to me and or personal property which I may sustain by reason of my participation in any NESC sanctioned event.

MEMBERSHIP FEES
Members must own Mylaps transponders:

First rider $100. Each additional rider in the same household $75.

By mail: post marked after 1/31/21 $100.00 Additional members per household with transponders $75.00 each

All memberships at tracks: $100 NO FAMILY DISCOUNTS AT TRACKS

Please mail forms to: N.E.S.C. PO BOX 609
North Berwick, ME 03906
Yes, I agree to comply with all the NESC rules. *

Yes
Signature of Rider *
Enter name
Date *

Month Day Year
Date
If under 18 Signature of parent or guardian
Signature of guardian
Submitting this form will send your info and payment to the NESC, you will then be issued an NESC number.

Youth riders will only be issued a number after this short release has been signed and notarized.

Please either mail the release to the NESC office or bring it to the NESC at a track.
NESC
P.O. Box 609
North Berwick, ME 03906

Should be Empty:

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

NESC Membership Application - 2021

NESC Membership Application - 2021 for second rider

NESC Membership Application - 2021 for third rider

NESC Membership Application - 2020 for fourth rider