Bike Barrel Race Entry Form

Bike Barrel Race Entry Form
Rider Name*

First NameLast Name
Rider Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Junior Entry

Child must be under 16 years of age and over 12 years of age

$10 entry

Helmet must be checked, waiver form must be signed, payment made before riding. This can be done at the show office on the day from 1pm-4pm.
Open Entry

Over the age of 16yrs

$20 Entry

Helmet must be checked, waiver form must be signed, payment made before riding. This can be done at the show office on the day from 1pm-4pm.
Signature of Participant or Legal Guardian*

Clear
Entry fees*
prevnext( X )
Opens entry
$20.00AUD

Junior Entry
$10.00AUD

Total

$0.00AUD
Should be Empty: