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Registration Form
Third Annual Grouse Ridge Mountain Bike Race Montesano, Washington
Downhill Saturday Sept. 22, 2000  Cross-Country Sunday Sept. 23, 2000

Rider Information – Please Print
Last Name: First Name:
Street Address:
City: State/Province:
Zip Code/Postal Code: Country:
Telephone: E-Mail:
Emergency Contact Person: Emergency Phone:
Age as of 12/31/00: Birth Date:
NORBA/CCF Category: NORBA/CCF License:
NORBA/CCF Club/Team: Gender: Male Female

Categories – Please Check () Appropriate Boxes

Category

Downhill

X-Country
Age ()

10 and <
 11-12  13-14  15-16


17-18

Junior X
(18 & <)


19-29


30-39


40-49


50+
Pro
.
.
.       . . . . . .
Semi Pro .
.
.       . . . . . .
Expert
.
. .       . . . . . .
Sport
.
. .       . . . . . .
Beginner N/A . .       . . . . . .

Registration Fees
Race Age Fee Add Applicable Fees
Downhill 19 & Over $30 $
15 – 18 $25 $
14 & Under $15 $
X-Country 19 & Over $30 $
15 – 18 $25 $
14 & Under $15 $
Downhill & Cross-Country Combined 19 & Over $45 $
15 – 18 $35 $
14 & Under $20 $
Beginner Any Age $10 $
One-day NORBA registration (available for Beginners only) $5
NORBA renewal (if your membership has expired and you wish to review it, you can do so at the race) $_____
TOTAL ENCLOSED. Please make checks payable to the Spoke Busters Bike Club, P.O.Box 643, Montesano, WA 98563. (360) 249-3021- ext 112. Website: http://members.tripod.com/spokebusters/ $

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Race Sponsored by the Spoke Busters Bicycle Club, P.O. Box 643, Montesano, WA  98563
360-249-3701 * E-mail: spokebusters@hotmail.com
Sanctioned by NORBA * Last modified: 03/05/01