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2024 Nicky Hayden AMA Flat Track Horizon Award - Letter of Intent

To help AMA determine who would like to be considered for the 2024 AMA Flat Track Horizon Award, complete this form no later than June 7, 2024. Although this is not a requirement to be considered for the award, it is encouraged for your intent and media purposes.
Contact Information
AMA Member Number*
Birth Date*

MonthDayYear
First Name*
Last Name*
E-mail*
Contact Number*
Website (if applicable)
Rider Address
Street Address*
Address Line 2
City*
State*
Zip Code*
Country*
Biographical Information
Occupation or school attending*
Grade
What was your first motorcycle?
When did you start riding?
How long have you been an AMA member?
Does your racing number serve any meaning? If so, what?
Your first race (club, when, where, class, finish, bike)?
Why did you decide to start racing flat track?
Home track
Favorite track
How long have you been competing in the Mission Foods AMA Flat Track Grand Championship?
Other hobbies and interests
What are your racing accomplishments to date (all disciplines)?
What are your AMA Professional Flat Track racing goals?
What qualities do you have that make you stand out from other competitors?
Check all classes you are competing in:*

250cc Production250cc Modified250cc-Open Singles (12+)450cc Production450cc ModifiedOpen HeavyweightWomen 122cc and Up (12+)
List bike number(s) with associated class:*
Certification
I agree that the above information may be used for media purposes pertaining to the 2024 Mission Foods AMA Flat Track Grand Championship in Du Quoin, Ill. on June 30-July 5, 2024.*

I agree
Signature

Clear
SUBMISSIONS/INQUIRIES: Ken Saillant - ksaillant@ama-cycle.org - (614) 856-1900, ext. 1260
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2024 Nicky Hayden AMA Flat Track Horizon Award - Letter of Intent

Contact Information

Biographical Information

Certification