EMX NZ Registration Form

EMX NZ Registration Form

The Royal A&P Show - Canterbury A&P Show Grounds. Thursday 13 - Saturday 15 November 2025
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

DayMonthYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number

Area CodePhone Number
Registration -

Payable at time of registration -

Bank deposit only - EMX - 12 3164 0573423 00

Kids (3yrs - 15yrs) - $20 each

Adults (16yrs up) - $45 each

All registered riders -

Bbq food and refreshments on race days

and

One complimentary event T-shirt - NB: registration required prior to 3 Nov to enable printing. Registration after 3 Nov T-Shirt will not be available for event.

First 30 registed riders will also receive -

Free show entry

Free car parking onsite
Registration
Complimentary Event KIDS T-shirt - one per kid entry
Complimentary Event ADULT T-shirt - one per adult entry
Experience Level
Racing Classes
Preferred racing number 1 - 100, please give 1st, 2nd and 3rd preference -
Bike information and identification -
Make -
Model and year -
Controller and battery information - Please note all aftermarket battery's MUST be cleared by the technical officer prior to racing.
Agree to Terms and Conditions
Signature
Should be Empty: