USRA DESERT & MOTOCROSS ENTRY FORM
RIDERS NAME
First Name
Last Name
AGE
BIRTHDATE
-
Month
-
Day
Year
Date
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
BIKE BRAND
CC
BIKE/USRA #
SPONSERS
SATURDAY DESERT BIG BIKE CLASSES
PRO/AA
EXPERT// A
AMATEUR//B
NOVICE//C
TEAM
SPORTSMAN//C
PEEWEE A///B
65 A (10-12)
65 B (7-9)
POWDER PUFF (6-11)
MINI WOMEN
SCHOOL BOY
WOMEN
125/200
250
OPEN
30+
35+
40+
45+
50+
60+
70+
85
Signature
PAY YOUR ENTRY FEES HERE
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( X )
SATURDAY DESERT BIG BIKE PRO
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
120.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERT BIG BIKE EX/AM/NOV
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
55.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERTTEAM
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
75.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERT MINI EX/AM/NOV
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
50.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERT MINI 65 A & B
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
40.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERT PEEWEE A
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
SATURDAY DESERT PEE WEE B
PLEASE SELECT THE NUMBER OF CLASSSES YOU'RE RACING
$
30.00
Quantity
1
2
3
4
5
6
7
8
9
10
Sight lap Friday night
Sight lap Friday at 6pm
$
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
SUNDAY OPEN PRACTICE
Open practice
$
35.00
Quantity
1
2
3
4
5
6
7
8
9
10
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