NSW Tailwhips Team Rider Expression of Interest (EOI)

NSW Tailwhips team Rider Expression of Interest (EOI)

Submit your interest for the 2026 Tailwhips Motocross Development Program under Motorcycling NSW.
RIDER DETAILS

Please provide accurate rider information as per MA licence.
Rider Full Name (as per MA licence)*

First NameLast Name
MA Licence Number*
Date of Birth*

MonthDayYear
Date
Age (as at 1 January 2026)*
Club Name*
YesNo
Years of Riding Experience*
50cc Division 265cc 7-U1065cc 10-U1285cc 9-U1285cc 12-U1485cc 14-U1685cc Girls 12-U16125cc 13-U15125/250cc Girls 13-U16250cc 13-U16125cc 15-U17MX3
Competition Experience (briefly outline race history, including club, regional, state or national events)*
WHY ARE YOU APPLYING FOR THE NSW TAILWHIPS TEAM? (Briefly explain why the rider would like to be considered for the NSW Tailwhips, and what they hope to gain from it)*
STATE TITLE PARTICIPATION

Let us know your intentions for the 2026 NSW Motocross State Titles.
ROUND 1ROUND 2ROUND 3ROUND 4ROUND 5
PARENT / GUARDIAN CONTACT DETAILS

Please provide contact details for the parent / guardian responsible for any and all communications regarding the team.
Parent / Guardian Full Name*

First NameLast Name
Relationship to Rider*
Parent / Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Parent / Guardian Email*
example@example.com
COMMITMENT & EXPECTATIONS

Please read the following commitment and acknowledgement sections carefully before signing.
PARENT / GUARDIAN COMMITMENT & SIGN-OFF

By signing below, I acknowledge and agree that:
- I am the parent or legal guardian of the rider named in this form.
- I understand that the NSW Tailwhips Team is a development pathway, not a guarantee to perform or gain results.
- If selected I commit to supporting my child’s participation in the NSW Tailwhips Program.
- I commit to being present and supportive at NSW Motocross State Title rounds, where reasonably practicable.
- If selected I commit to ensuring my child participates in and completes any training, education sessions, or activities provided or required by MNSW as part of the NSW Tailwhips team.
- I understand that failure to meet these commitments may impact ongoing participation in the team.
I confirm that all information I have provided in this form is true and correct to the best of my knowledge.
Parent / Guardian Name*

First NameLast Name
Parent / Guardian Signature*
Date*

MonthDayYear
Date
RIDER ACKNOWLEDGEMENT

I understand that the NSW Tailwhips Team is designed to help me develop as a rider and role model and prepare me for competition. I agree to participate positively, respectfully, and to the best of my ability.
Rider Name*

First NameLast Name
Rider Signature*
Date*

MonthDayYear
Date
Should be Empty:

NSW Tailwhips team Rider Expression of Interest (EOI)

RIDER DETAILS

STATE TITLE PARTICIPATION

PARENT / GUARDIAN CONTACT DETAILS

COMMITMENT & EXPECTATIONS