On-Line Pre-Sign Form
Please use this on-line form to sign up for any of our special events (clinics, multi-point races). In the near future, we may even use this form for our regular race schedule.
Please enter your rider information below:
Event Name: Select Event Clinic 2005 State Championship Qualifier Other - Please explain below: Explain: Event Date: Rider Name: Nickname: Address: City: State: Select State Alberta Arizona Arkansas British Columbia California Colorado Delaware Georgia Idaho Illinois Indiana Iowa Kansas Louisiana Maryland Massachusetts Michigan Minnesota Missouri Montana Nevada New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Washington Wisconsin Wyoming Zip: Sponsor: Rider Gender: Select Gender Female Male Rider Age: Select Age 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 and Over Rider Class: Select Class Girl Novice Intermediate Expert ABA Class #: Cruiser: No Yes ABA Cruiser #:
Tell us how to get in touch with you:
How did you learn about our event?
Select One Email Track Web Site Flyer Track Announcement Friend Other Rider ABA Another Track Newspaper Other
Enter your comments or special needs in the space provided below:
Your form will be sent to the track operators and recorded. Please call the Track Operators on the "Track Hot Line at 661- 329-0927 if you should you not receive a confirmation either by email or telephone. Please allow 24 hours for this to happen.
NOTE: Please click the "Submit Pre-Sign" button only once to eliminate duplicate postings!
Thank You!