MOTOCROSS PRE-REGISTRATION

Race Pre-Registration Form

Pre-register for a race event using this form.

2023 Race Event(Required)

Rider Name(Required)

First Middle Initial Last Suffix

Please enter your complete name. If you have a Suffix such as Sr, Jr, III, please enter it also.

Rider Address(Required)

Street Address City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Rider Date of Birth(Required)

Rider Age(Required)

Please enter a number from 4 to 99.

Age Verification(Required)

Adult - 18 years or over

Minor - 17 years or under

Parental Consent(Required)

Parent Full Name

Father or Mother

Rider Skill Level(Required)

MSC Member Number

This is the 4 digit barcode number on your MSC card.

AMA Number

AMA Exp Date

Place two digit month and two digit year inline with no space. Example 0324 for March 2024 ** If you are a Life Time AMA Member, use 1299 **

Race Class Entry

Race Class	Rider Number	Bike Make	Actions

There are no Class Entries.

Race Class Entry

Race Class	Rider Number	Bike Make	Actions

There are no Class Entries.

Total Class Entry Fees

Price: $0.00

Total Class Entries

Price: $0.00

Gate Admission (Required)

Price: $20.00

Saturday Open Practice

Purchase an Open Practice Pass

Transponders

Price: $5.00

The inexpensive transponders are placed on the back side of the front number plate only. 1 transponder per bike.

Signature(Required)

Coupon

Total

Credit Card

Card Details

Cardholder Name

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