NEATV Registration

NEATV Pre-Registration Form

Pre-register for the NEATV race event using this form.

2024 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

Racing Section

Rider Skill Level(Required)

NEATV 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 **

NEATV Race Class Entry

Race Class	Rider Number	Bike Make	Actions

There are no Class Entries.

Total Class Entry Fees

Price: $0.00

Race Sponsors

List race sponsors here. Limited to 200 charactors

Open Practice

Saturday Open Practice

Purchase an Open Practice Pass

Gate Admission (Required)

Price: $25.00

Total Class Entries

Price: $0.00

Liability Waiver & Consent Section

Signature(Required)

Checkout Section

Coupon

Sub Total

Price: $0.00

Convenience Fee

Price: $0.00

3.5% convenience fee is charged on all credit card transactions.

Total

Price: $0.00

Credit Card(Required)