Crossbone Buddy Race Signup

Crossbone Buddy Race Form

Fill out the form carefully for registration - double check your spelling.
Rider 1 Name (as used in Mototally)

First NameLast Name
Rider 2 Name (as used in Mototally)

First NameLast Name
Class is chosen by the higher skill level rider. SECCA numbers will be used. New Riders will be assigned a temporary number.
Class
Has Rider 1 ever raced with SECCA?

YesNo
Has Rider 2 ever raced with SECCA?

YesNo
Rider 1 E-mail
example@example.com
Rider 2 E-mail
example@example.com
Rider 1 Ph Number
Rider 2 Ph Number
Additional Comments
Should be Empty:

Crossbone Buddy Race Form