Single Race Registration Form

Race Registration Form
Race Event*
Registrations close one week prior to event
Payment Option*

Online PaymentPay at event (additional fees apply)

Number of Competitors*
Competitor 1 Details

(Competitor 1 will receive email confirmation)
Name*

First NameLast Name
Phone*
Email*
example@example.com
Age*
Are you a financial member of SALMRA*

YesNo
Membership Number
Number of classes competing in *
Competitor 1 Price

I agree all information provided is correct (False information can result in exclusion from events)*

Yes
Please verify that you are human*

Please review all information before submitting
Total Price $
Should be Empty: