TAUPO MOUNTAIN BIKE CLUB
WINTER TEAMS RACE SERIES 2004
ENTRY FORM


You can either print off this entry form page or you can download the Adobe Acrobat file Here

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RACE 1: Sunday 6th June
RACE 2: Sunday 4th July
RACE 3: Sunday 8th August
 
 
TEAM NAME
RIDE NUMBER
AMOUNT PAID
     
 
 
 
NAME
FULL POSTAL ADDRESS
PHONE
RIDER 1
      
RIDER 2
      
RIDER 3
      
RIDER 4
      
 
 
Give us your e-mail address(es) if you want to receive the full scrutineered results.
 
 
NAME(S)
E-MAIL ADDRESS(ES)
   
 
 
PLEASE CIRCLE YOUR CATAGORY
 
INDIVIDUAL MAN
INDIVIDUAL WOMEN
OPEN
MIXED
WOMEN
FAMILY
SECONDARY SCHOOLS
INDIVIDUAL BOY
12 YRS & UNDER
 
 
SAFETY RULES

Wear a cycle helmet when riding; Control your speed to match your ability; Call and state a side before overtaking; Have care and consideration for other riders, especially the young.
 
 
WAIVER/RELEASE:

I/we agree to take part in these events at my/our own risk and to abide by safety and race rules. I/we accept that these events involve a degree of risk and will not hold the organisers, sponsors, landowners or any other person liable for loss or injury to equipment or person, incurred in the race. I/we consent to our details being released to the event sponsors.
 
 
SIGNED: _________________________
DATE: ________________________
Parent or guardian if under 16 years of age.
 
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