2015 POLARIS ATV and SxS CONTINGENCY PROGRAM

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1 2015 POLARIS ATV and SxS CONTINGENCY PROGRAM Welcome to the Polaris ATV and SxS Contingency Program. For 2015 Polaris is offering a contingency program for four racing series in North America. This program offers contingency dollars for racers who compete in the top of their classes and meet Polaris Contingency Program eligibility requirements listed below. If you meet these requirements, complete sections A D of the Enrollment Form to enroll in the Polaris Contingency Program. Send or fax all completed sections of the Enrollment Form to the address or number on the bottom of page 2 to be eligible for the Polaris Contingency. See Contingency Claim Form for contingency information and payment. For additional forms, please contact your local dealer, or go online to Eligibility Requirements ATV and SxS Model and Racer 1. The following Polaris ATVs and SxSs will be eligible for contingency under the 2015 Polaris ATV and SxS Contingency Program: > Model Year 2013 and newer Scrambler XP 1000, Scrambler XP 850 and RZRs 2. All Polaris logos must be predominantly displayed on the vehicle. 3. Contingency will be paid only to registered Polaris owners and only to racers who have executed the release and waiver set forth below. Sales registration for the unit must be on file with Polaris Industries Inc. (Polaris) prior to the race date. 4. Contingency forms will only be issued to racers with a valid U.S. or Canada mailing address. 5. Factory-sponsored teams and/or racers are ineligible for 2015 Polaris Contingency Program. ATV and SxS Race Series 1. The following race series will be eligible for the Polaris Contingency Program: > GNCC Grand National Cross Country Series (ATV Only) > WORCS World Off Road Championship Series (ATV Only) > SCORE (RZR Only) > BITD Best in the Desert (RZR only) Race & Contingency Claim Polaris Contingency Program Period: January 1 December 31, Contingency will be only paid after: > Polaris receives the completed Contingency Claim Form within 30 days of each applicable event; two payments will be made per year, in July and December. > Confirmation of the race results from the race promoter and that the racer has competed on the qualified Polaris model. 3. Contingency will be paid for racers best overall finish in one class per event. Contingencies will only be paid for nationally scheduled events in each series. 4. At least five racers must compete in any event to qualify for the Polaris Contingency Program. 5. Falsification of claim forms will result in future disqualification from any contingency programs. Polaris Contingency Program qualification and details are subject to change without notice. 6. In all matters concerning the interpretation of the Polaris Contingency Program, the decision of Polaris is final. 7. Polaris has the right to cancel or modify this program anytime, without prior notice. Contingency Payment 1. All contingency awards will be paid via check. 2. All contingency earned in 2015 must be claimed for reimbursement by December 20, 2015.

2 CONTINGENCY ENROLLMENT FORM To be eligible for the Polaris Contingency racer must complete section A D of the Enrollment Form and send or FAX completed form to address or number on the bottom of page 2. READ AND SIGN THE RELEASE. A parent or guardian must also sign the Parent or Guardian Consent for all riders under 18 years of age. Section C must only be completed if dealer or someone other than an immediate family member owns the ATV or SxS. Section A RELEASE, LIABILITY WAIVER, INDEMNIFICATION AND ASSUMPTION OF RISK In consideration of being considered to participate in the Polaris 2015 Contingency Program, I, the undersigned, for myself, successors, heirs and assigns, release, waive liability, promise never to sue, and forever discharge, Polaris Industries Inc. (Polaris) and its affiliates, agents, employees, servants, officers, directors, and authorized Polaris dealers ( Released Parties ) from all claims, including but not limited to claims for negligent acts or omissions, actions or judgments I may have or claim to have against Polaris and related parties. I agree that I am responsible for all personal injuries, including death, and injuries to property, real or personal, caused by or arising out of my participation in the Polaris Contingency Program. I understand that ATV riding is inherently dangerous. I represent to Polaris that I have had sufficient experience riding ATVs and SxSs to understand all the risks involved in ATV and SxS racing. I expressly and voluntarily assume all risk of personal injury or death sustained while participating in the Program, whether or not caused by the negligence or other fault of Released Parties, or any of them, including but not limited to equipment malfunction from any cause, inadequate training or supervision, defective design of equipment or ATV race course, failure to keep safe, failure to investigate or supervise other riders, or failure to warn of potential risks. I further agree for myself, my successors, heirs and assigns to indemnify and hold the Released Parties harmless from all claims and suits for personal injuries, including death, and damages to property caused by my act or omission arising out of my participation in the Polaris Contingency Program, and from all judgments recovered and from all expensed incurred in defending said claims or suits. I am in good health and have no physical conditions that would prevent me from participating in the Polaris Contingency Program. I further agree to that without compensation, my name, as well as any photographs, pictures, slides, or movies taken of myself or made in connection with my participation in the Polaris Contingency Program, or any reproduction of the same, may in any manner be used by Polaris, or by any person, corporation or association authorized by Polaris. I understand that I am giving up substantial rights by signing this document. I agree to abide by all the eligibility requirements as listed in the eligibility requirements on the previous page. I agree to use all recommended safety equipment and to abide by all warnings and safety recommendations of Polaris. I agree that I will not race while under the influence of alcohol or drugs. Signature of Rider Date Section B PARENTAL CONSENT, RELEASE, LIABILITY WAIVER AND INDEMNIFICATION I hereby certify that I am the parent or legal guardian of (print name), a minor ( Child ) and that I have read Section A of this Release set forth above. I understand that for my Child to participate in the Polaris Contingency Program, I hereby consent to my Child s participation in the Polaris Contingency Program and agree on behalf of my Child, myself and my spouse to release the Released Parties and waive liability from all claims, including, but no limited to, claims for negligent act or omissions, arising from or related to my Child s participation in the Polaris Contingency Program. I agree that my Child and I will be bound by all for the terms listed in Section A and B of this release. I understand that there are risks (including serious bodily injury or death) associated with participating in the Polaris Contingency Program, and I hereby assume, on behalf of my Child, myself and my spouse, all such risks, including those detailed above. I am releasing the Released Parties from any or all claims I or my spouse may have for emotional distress or loss of consortium in the event my Child suffers bodily injury or death. I further agree, for myself, my spouse, successors, heirs and assigns, to indemnify, defend and hold the Released Parties harmless from all claims and suits for personal injuries, including death and damage to property caused by any act or omission arising out of my Child s participation in the Polaris Contingency Program, and from all judgments recovered and from all expenses incurred in defending said claims or suits. I understand that I am giving up substantial rights by signing this document. I further agree to that without compensation, my Child s name, as well as any photographs, pictures, slides, or movies taken of my Child or made in connection with my Child s participation in the Polaris Contingency Program, or any reproduction of the same, may in any manner be used by Polaris, or by any person, corporation or association authorized by Polaris. Parent Signature Print Name Date Section C SPONSORED RIDER AFFIDAVIT I have agreed to sponsor the rider listed above ( rider ). I am the owner of the ATV or SxS and understand that no additional person(s) other than the rider will be paid contingency from Polaris. Dealers sponsoring riders must have paid for the unit in full. Dealership/Owners Name Owners Address Owners Signature 1

3 PLEASETYPEORPRINT2015 ATV and SxS CONTINGENCY ENROLLMENT FORM Section D TO RECEIVE CONTINGENCY OR REBATE PAYMENT, RACER MUST FILL OUT THE IRS FORM W-9 BELOW. REQUEST FOR TAXPAYER IDENTIFICATION NUMBER AND CERTIFICATION SUBSTITUTE FORM W-9 Name: Last, First, Middle Initial Address: Phone: TAXPAYER IDENTIFICATION NUMBER (TIN) ENTER SOCIAL SECURITY NUMBER BELOW: Social Security Number (SSN) CERTIFICATION SIGN HERE Under penalties of perjury, I certify that the number provided on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me.) Signature: Date: PURPOSE OF THIS FORM: A PERSON WHO IS REQUIRED TO FILE AN INFORMATION RETURN WITH THE IRS MUST OBTAIN YOUR CORRECT TIN TO REPORT INCOME PAID TO YOU. FURNISHING YOUR CORRECT TIN AND MAKING THE APPROPRIATE CERTIFICATION WILL PREVENT PAYMENTS FROM BEING SUBJECT TO 31% BACKUP WITHHOLDING. For office use only: Polaris Vendor # NOTE: Sections A D of the 2015 Enrollment Forms need only be completed once per year to enroll in the Polaris Contingency Program. For questions concerning the programs, or send a FAX to Polaris Contingency Program at Send completed Enrollment Forms Sections A-D to the address below, or FAX to Polaris ATV and SxS Racing Polaris Industries Inc Highway 55 Medina, MN All Enrollment Forms must be filled out completely (Sections A-D) to enroll in the Contingency Program. For additional information visit the Polaris Racing website at: 2

4 CONTINGENCY PAYOUT GNCC 13 Events CHAMPIONSHIP 1 st 2 nd 3 rd 1 st 2 nd 3 rd TOTAL ($30,750) Pro 4X4 $1,000 $500 $250 $5,000 $2,000 $1,000 $30,750 WORCS 9 Events ($18,750) 4x4 Open $1,000 $500 $250 $3,000 $18,750 SCORE 4 Events ($7,000) Pro UTV $1,000 $500 $250 $7,000 BEST IN THE DESERT 6 Events ($10,500) Pro UTV $1,000 $500 $250 $10,500 TOTAL PURSE $67,000

5 CONTINGENCY ENROLLMENT FORM Congratulations on your finish on a Polaris ATV or SxS. Send or FAX the completed Contingency Claim Form to the address or number below within 30 days of the race to be eligible for Polaris Contingency. Once all your information has been verified, you will be awarded a contingency payment. The check will be sent out within six weeks of us receiving the completed Contingency Claim Form. For additional forms, please contact your local dealer, or go online to PLEASE PRINT > RACER INFORMATION Name: Last, First, Middle Initial Name you race under if different: Address: Race Class: Age: Telephone: Hometown: (City, State) First Polaris Contingency: (circle one) Years Racing: Current place in points: Yes No > MINOR EXEMPTION (must be completed if racer is under 18 years of age or a minor in your state) Issue the check in the name of the following: Minor s name: Parent/Guardian name: Date: / / 14 Address: > PRODUCT INFORMATION Model year: (circle one) Frame Vehicle Identification Number (17 digits): Model: (circle one) Scrambler 850 / XP 1000 RZR 570 / 800 / S 800 / / 900 / XP 1000 / XP > EVENT INFORMATION Event Date: Event Location: (City, State) Race Series: / / 14 Name of track: Overall class finish: Track conditions and weather (muddy, rocky, hilly, etc.): I certify that all the information listed above is accurate, and falsification of any information will disqualify me from the contingency program now and in the future. Signature of Rider Date NOTE: Prior to submitting 2015 Contingency Claim Form racer must have completed sections A D of the 2015 Enrollment Form or previously enrolled in the program. For questions concerning the Polaris Contingency Program, or send a FAX to Polaris ATV Racing at

6 2015 POLARIS ATV and SxS NEW RACER REIMBURSEMENT PROGRAM Thank you for your interest in racing Polaris ATVs and SxS. This program was created to provide first-time racers the ability to collect a Reimbursement on their new, racing ATV or SxS purchase. Reimbursements. $1000 off qualifying ATVs & SxS Qualifying ATVs: Scrambler 850, Scrambler XP 1000 EPS Qualifying SxS: RZR 570, RZR 800, RZR S 800, RZR 4 800, RZR 900, RZR S 900, RZR 4 900, RZR XP 1000, RZR XP Qualifying ACE: All ACE Models Eligibility Reimbursement is paid at the end of the respective race season as long as the racer raced in more than half of the series races. This program cannot be used in conjunction with the Racing Discount Program. Reimbursements will be paid only to registered Polaris owners and only to racers who have executed the release and waiver set forth below. Sales registration for the unit must be on file with Polaris Industries Inc. (Polaris) prior to the racing. All Polaris logos must be predominantly displayed on the vehicle. Reimbursement forms will only be issued to racers with a valid U.S. or Canada mailing address. Reimbursements will only be given for qualifying, new units that were purchased at a Polaris factory authorized dealership. Factory-sponsored teams and/or racers are ineligible for Polaris Reimbursement Program. Reimbursement Claim 1. Polaris Reimbursement Program Period: January 1 December 31, Reimbursement will be only paid after: > Polaris receives the completed Reimbursement Claim Form > Confirmation that the vehicle was raced in more than half a qualifying series races and that the racer has competed on a qualified Polaris model. 3. Falsification of claim forms will result in future disqualification from any Reimbursement programs. Polaris Reimbursement Program qualification and details are subject to change without notice. 4. In all matters concerning the interpretation of the Polaris Reimbursement Program, the decision of Polaris is final. 5. Polaris has the right to cancel or modify this program anytime, without prior notice. Units must be new 2014 or 2015 units purchased after Sept. 1, 2014 to qualify for a Reimbursement. Polaris is limiting this Reimbursement to the first 50 qualified submissions. ATV and SxS Race Series 1. The following race series will be eligible for the Polaris Reimbursement Program: > GNCC Grand National Cross Country Series Reimbursement Payment 1. Reimbursements will be paid via check at the end of the qualifying race season. 2. Reimbursement request must be claimed for reimbursement by December 1, Reimbursements are limited to the first 50 qualified submissions. > WORCS World Off Road Championship Series > Lucas Oil Regional Off Road Racing Series > SCORE International > BITD Best in the Desert

7 REIMBURSEMENT ENROLLMENT FORM PLEASE PRINT > RACER INFORMATION Name: Last, First, Middle Initial Name you race under if different: Address: Race Class: Age: Telephone: Hometown: (City, State) > MINOR EXEMPTION (must be completed if racer is under 18 years of age or a minor in your state) Issue the Reimbursement Check* in the name of the following: Minor s name: Parent/Guardian name: Date: / / 14 Address: > PRODUCT INFORMATION Model year: (circle one) Frame Vehicle Identification Number (17 digits): 2015 Model: (circle one) Qualifying ATVs: Scrambler 850 / Scrambler XP 850 EPS / Scrambler XP 1000 EPS Qualifying SxS: RZR 570 / RZR 800 / RZR S 800 / RZR / RZR 900 / RZR S 900 / RZR / RZR XP 1000 / RZR XP Qualifying ACE: ACE, ACE 570, ACE 570 SP > EVENT INFORMATION Qualifying Series Raced: (circle one) GNCC / WORCS / LUCAS OIL REGIONAL OFF ROAD / SCORE / BITD List Races Raced and attach proof of racing, MSO and photo of vehicle: I certify that all the information listed above is accurate, and falsification of any information will disqualify me from the Reimbursement program now and in the future. Signature of Rider Date NOTE: Prior to submitting 2015 Reimbursement Claim Form racer must have completed all sections of the 2015 Enrollment Form or previously enrolled in the program. For questions concerning the Reimbursement Program, or send a FAX to Polaris Racing at

8 RACING DISCOUNT PROGRAM Thank you for your interest in racing Polaris ATVs and SxS. This program was created to provide racers the ability to receive a discount on their new, racing ATV or SxS purchase. Qualifying ATVs Unit Scrambler 850 $8,200 Scrambler XP 1000 EPS $11,300 Qualifying SXS Unit RZR 570 $9,300 RZR 570 EPS Trail $11,000 RZR 900 $11,300 RZR 900 EPS $13,000 RZR S 900 $13,000 RZR S 900 EPS $14,400 RZR $16,000 RZR XP 1000 EPS $17,600 RZR XP EPS $19,200 Qualifying ACE Unit ACE $6500 ACE 570 $7500 ACE 570 SP $8600 Discount (Plus tax and applicable fees) Discount (Plus tax and applicable fees) Discount (Plus tax and applicable fees) The following race series will be eligible for the Polaris Discount Program: > GNCC Grand National Cross Country Series > WORCS World Off Road Championship Series > Lucas Oil Regional Off Road Racing Series > SCORE International > BITD Best in the Desert *US pricing only, Canadian residents please contact for Canadian pricing. Eligibility Discount is available to those racers who raced at least half of the races of a qualifying racing series in 2014 and intend to race full 2015 season. This program cannot be used in conjunction with the ATV and SxS Reimbursement Program. Racer qualifies for one discounted unit. Discount or unit is not transferrable. Discount is available only to racers who have executed the release and waiver set forth below. Sales registration for the unit must be on file with Polaris Industries Inc. (Polaris) prior to racing. Discount Claim Polaris Discount Program Period: Sept. 1, 2014 May 1, Discount only available after: > Polaris receives the completed Discount Claim Form > Proof of racer racing in at least half of qualifying races 2014 season is submitted > Polaris will contact the racer for payment (cashier s check) which must be received before unit will be ordered. All Polaris logos must be predominantly displayed on the vehicle. Discount will only be available to racers with a valid U.S. or Canada mailing address. Reimbursements will only be given for qualifying, new units that were purchased through Polaris Factory-sponsored teams and/or racers are ineligible for Polaris Discount Program. Units must be 2015 units and purchased through Polaris directly. Polaris is limiting this Discount to the first 100 qualified submissions. 3. Falsification of claim forms will result in future disqualification from any racing programs. Polaris Discount Racing Program qualification and details are subject to change without notice. 4. Polaris cannot guarantee a shipping date and this program is only available on product shipped directly from Polaris. 5. In all matters concerning the interpretation of the Polaris Discount Racing Program, the decision of Polaris is final. 6. Polaris has the right to cancel or modify this program anytime, without prior notice.

9 2015 RACING DISCOUNT PROGRAM ENROLLMENT FORM PLEASE PRINT > RACER INFORMATION Name: Last, First, Middle Initial Name you race under if different: Address: Race Class: Age: Telephone: Hometown: (City, State) > MINOR EXEMPTION (must be completed if racer is under 18 years of age or a minor in your state) Issue the Reimbursement Check in the name of the following: Minor s name: Parent/Guardian name: Date: / / 15 Address: > PRODUCT INFORMATION Model: (circle one) Qualifying ATVs: Scrambler 850 / XP 1000 Qualifying SxS: RZR 570 / 570 EPS / 900 / 900 EPS / S 900 / S 900 EPS / / XP 1000 EPS / XP EPS Qualifying ACE: ACE / 570 / 570 SP > EVENT INFORMATION 2014 Qualifying Series Raced: (circle one) GNCC / WORCS / LUCAS OIL REGIONAL OFF ROAD / SCORE / BITD List races raced and attach proof of racing. I certify that all the information listed above is accurate, and falsification of any information will disqualify me from the Reimbursement program now and in the future. Signature of Rider Date For questions concerning the 2015 Polaris Discount Racing Program, or send a FAX to Polaris Racing at

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