2010 Michigan-NBL State Series and Championship Registration Form:

 

QUALIFIER 1 & 2 June 19 & 20 Capitol Area BMX Lansing, MI
QUALIFIER 3 & 4 July 17 & 18 Northern BMX Oscoda, MI
QUALIFIER 5 & 6 August 21 & 22 Waterford Oaks BMX Waterford, MI

CHAMPIONSHIP

Sept. 25

MidlandBMX

Midland, MI

Qualifier ~ Pre-Registration $20.00   Postmarked TWO weeks

Checks or Money orders must be made out to

MICHIGAN NBL before race date:

Mail all registrations to

Scott Hackett

186 Saratoga Trail

Lapeer, MI 48446

A family registration fee discount of ($5.00, available for pre-registration only) will apply to

all riders after the first riders, riders must have the same address.

Post Registration $25.00 Friday 4:00pm to 6:00pm CASH OR MONEY ORDERS ONLY
  Saturday 8:00am to 10:00am NO CHECKS ACCEPTED at POST REG.
    SUNDAY ~  NO REGISTRATION
Courtesy Registration Sunday Qualifer Registrations will be held after Saturdays Mains~30 min. ONLY!
     
CHAMPIONSHIP RACE

Pre-Registration   $30.00

        2nd pt. class  $25.00

Post marked AUG 31 CHECKS OR MONEY ORDERS ONLY
Post Registration   $40.00 Friday 4:00pm to 6:00pm CASH OR MONEY ORDERS ONLY
  Saturday 8:00am to 10:00am NO CHECKS / NO FAMILY DISCOUNT
------------------------------------------------------------DETATCH/ONE RIDER PER ENTRY FORM-----------------------------------------------------
Rider Name:

Phone:

Email:

Address:

    
City: State: Zip:
Birthdate: Age @ Race Day: Class:
     
NBL 20" License# Exp. Date: BIKE #
NBL Cruiser License# Exp. Date: BIKE #

 

    

entry fee in blank space

Qualifiers   Saturday     Sunday TOTAL

Capitol Area   6/19 & 6/20

Class $20/$15*_____ plus Class $20/$15*_____ $__________
  Cruiser $20/$15*_____ plus Cruiser $20/$15*_____ $__________
Northern BMX    7/17 & 7/18 Class $20/$15*_____ plus Class $20/$15*_____ $__________
  Cruiser $20/$15*_____ plus Cruiser $20/$15*_____ $__________
Waterford Oaks    8/21 & 8/22 Class $20/$15*_____ plus Class $20/$15*_____ $__________
  Cruiser $20/$15*_____ plus Cruiser $20/$15*_____ $__________
Midland BMX   9/25 Class $30 _________       $__________
  2nd Class $25 _________       $__________

            

TOTAL AMOUNT ENCLOSED:

(* = $15* Entry fee applies to family discount riders only/1st family rider $20 others $15)

$__________

Please Note:

No family discount at Championship Race

All family discount riders are subject to validation

Any rider not using their entry form bike #, may NOT be scored for that race, please check MOTO board.

ALL OPEN CLASS registration will be taken at the track ONLY.