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: https://members.tripod.com/spokebusters/ |
$ |
Home
Back to top
|
|