Event Registration – The Ranch at Carlisle

Race Pre-Registration Form

Pre-register for a 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

Rider Skill Level(Required)

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 **

Race Entry #1(Required)

All Cash Payout $ Classes at $60 each. All other classes are $40 each. Race entry #1 will include Riders Gate Admission.

Race Entry #2

Race Entry #3

Race Entry #4

Race Sponsors

List race sponsors here. Limited to 200 charactors

Total Class Entry Fees

Price: $0.00

Gate Admission

Price: $15.00

Transponders

Price: $10.00

The inexpensive transponders are placed on the back side of the front number plate only. 1 transponder per bike.

Signature(Required)

Total

Coupon

Credit Card(Required)

Card Details

Cardholder Name

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