Participant Electronic Sign-In Sheet
Please submit one form per Rider (Open another form to enter another rider)
Participant Type
Please Select
Senior
Junior
Lites
Official
Sign-on Date
Please Select
Saturday
Sunday
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
MA License Number
You must be a member of MA to ride with us and have a valid NSW supermoto Membership (excluding Demo & Come&Try)
What class will you enter
Supermoto Slow
Supermoto Fast
Minimoto
Lites 9-12
Juniors 13-16
150/300/400 Road bike
Emergy Contact Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Machine Details
Make and model
Vin Number
We do not allow stolen bike at our events
Coaching Goals
Plase Provide 3 bullet points (short) on what you are hoping to learn or improve this week-end
I want to learn..
Acknowledgments
Please Read Carefully
By Signing this sheet, you acknowledge motorcycle racing is dangerous. You may be injured, or potentially worse. You also aknowledge you run this event at your own risks and are not covered in case of an accident. We strongly suggest having the approriate health cover. You also attest by entering this event you are a current member of MA, our club and have paid your fees in due. We will add your number to our SMS database for future events. You have the option to opt-out of any notification if you wish to do so, just reply "STOP"
Signature
*
Rider OR Parent/Guardian Signature
Please verify that you are human
*
Submit
Should be Empty: