2010 KY State Series: LCQ & CHAMPIONSHIP
THIS IS PRE-REGISTRATION FOR THE LCQ & CHAMPIONSHIP
Location: Derby City BMX
LCQ: Registration: 12Noon-1pm
Race: 2PM
CHAMPIONSHIP: Registration -3:30pm-5pm
Race: 6pm
Cost for Each Race:
20" or Cruiser - $25
20" + Cruiser - Additional $15 ($40 Total)
Rain Date: Sunday, August 29th
Registering for:
*
LCQ & Championship
Championship Only
Rider's First Name
*
Rider's Last Name
*
Age
*
Proficiency:
*
Racing on:
20" Only
Cruiser Only
Both
20 Inch NBL License Number
20 Inch Bike Number
Cruiser NBL License #
Cruiser Bike #
Email Address
*
Mailing Address
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