FOSSE HILL WINTER SERIES round 4

FOSSE HILL WINTER SERIES. Round 4
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
E-mail
example@example.com
Emergency Contact

First NameLast Name
Phone Number
Will this person be on site?
Class type
Race number
I First Name Last Name agree to pay the entry fee of £50 bank transfer or £60 on the day to enter into round 4 of the fosse hill winter series (unless you are entering freestyle which is only Membership costs) and doing so I agree to stick to the rules that are set forth infront of me from the members of the Fosse Hill Winter Series.
Signature
Payment type
Signature
Should be Empty:

FOSSE HILL WINTER SERIES. Round 4