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
Balance Bikes
Will you join us...
Please Select
January 22
January 24
January 29
Our AGM is coming up ! Will you join us? pick a date that works for you
Your Details
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)
Would you like to get notified of future events ?
Class selection
What class will you enter
Supermoto Slow
Supermoto Fast
Minimoto
Lites 9-12
Juniors 13-16
150/300/400 Road bike
Kids Balance Bike 4-8
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
Stolen Vehicles
*
I understand stolen bikes are not allowed at the event. My VIN number will be visible for scrutineering
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
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