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REGISTRATION
Personal information
Name
Address
City & Postal Code
Phone no.
 Cellular no.
E-mail
Emergency contact
Phone no.


Technical information
Activities chosen
Riding lessons level wanted
Choice of date (DD-MM-YEAR)
Classification wished for track days
Choice of date (DD-MM-YEAR)
Class wished for racing
Choice of date (DD-MM-YEAR)
3 choices for racer number
Model of bike
Membership




 


Août 18, 2010
Don't miss the next race!

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