Club Membership Registration Form

Wednesday Club Night Registration

If you are planning to attend Wednesday Club Night, please complete the online registration below for each individual rider.
Name

First Name Last Name
BMXNZ Licence Number
Name

First Name Last Name
BMXNZ Licence Number
Name

First Name Last Name
BMXNZ Licence Number
Name

First Name Last Name
BMXNZ Licence Number
Rider class

Strider 2-4 years old Sprocket 5-7 years old Challenge 8-60+ years old Cruiser 10-60+ years old
Club Membership Status

Existing Hawera Club Member BMXNZ Affiliate Club Member New to BMX - free trial night Other/Not sure
Add Comment about Registration/Rider if needed:-
Once you submit your Registration, you will be registered for club night, please pay in arrival at Admin. Thank you!
Should be Empty:

Wednesday Club Night Registration