Rider Details:
Full Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Your age as at 1st January
Please Select
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Address
*
Street Address
Street Address Line 2
City
State
Post Code
Email
*
example@example.com
Phone Number
*
Format: 0000-000000.
Parent/Guardian Contact Details
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Format: 0000-000000.
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RACING DETAILS
License Number
*
License Expiry Date
*
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Racing Number
*
Is your racing number registered
Please Select
YES
NO
Motocross Club to list on Entries
Please list your sponsors
Junior Motocross Class Entry
50cc Demo
50cc Auto DIV 2
65cc 7-9 years
65cc 10-12 years125
85cc 9-11 years
85cc 12-13 years
85cc 14-15 years
85cc 12-15 years GIRLS
Jnr Lites 125cc 13-14
Jnr Lites 125cc 15 years
Jnr Lites 250cc 13-14 years
Jnr Lites 250cc 15 years
Jnr Lites 125/250cc 13-15 years GIRLS
Select up to 3 main classes that you race
Senior Motocross Class Entry
MX 1 - 16 years & over
MX 2 - 15 years & over
MX 3 - 14-17
MXW - Women All Powers
MXV - Veteran 30-39 years All Powers
MXV - Veteran 40 & over All Powers
Choose 3 main classes that you regularly race
Junior Supercross Class Entry
Please Select
85cc 12-15 years
Jnr Lites 13-15 years
Choose 3 main classes that you regularly race
Senior Supercross Class Entry
Please Select
SX1 - 16 years & over up to 450cc
SX2 - 15 years & over up to 250cc
SX2 WOMEN - up to 250cc
Choose 3 main classes that you regularly race
Any further information that you think is relevant
How did you hear about us?
*
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Feedback about us:
Suggestions if any for further improvement:
Will you be willing to recommend us?
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