Qld Minimoto-IPSWICH Tuesday Night Booking Form

IPSWICH MINIMOTO NIGHT BOOKING FORM

TUESDAY MINIMOTO NIGHT 14th of APRIL
>>ONLY 12 SPOTS PER CLASS<<

EARLYBIRD RATES

(Closes Sun 12th April 9pm)

Pocketbikes - $70

5-10yrs old - $80

11yrs+ - $100

Family - $200
ONLY 4 AVAILABLE!!

JUNIOR MINIMOTO PACKAGE!!

5-12Yrs Old...

Includes: Pocketbike, Suit, Boots, Gloves, Ride Fee

Just bring a helmet

All Night for Only - FROM $140

Lic & M'ship Req. by All Riders

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RIDER NAME*

First NameLast Name
Email*
example@example.com
RACERS LIC NUMBER*
Qld Minimoto Membership Here..

Membership Form

Single $50/yr - Family $85/yr

Racers Clubman Lic Here..

WWW.RACERS.WORLD

Single $95/yr - Family $250/yr

I confirm the bike/s that is/are to be used, has/have all neccessary sliders & a suitable working catch can.I certify that I have checked the bike for safety compliance and that it is safe for the use intended.I accept Qld Minimoto's Exclusion of Liability, Indemnity, Release and Voluntary Assumption of Risk by entering the circuit.
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