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Rim Nordic Mt. Biking Registration Form
This form can not be submitted through email.
Please fill out registration form, print and fax or mail form to Rim Nordic Ski Area

USA #
Rim Nordic Racing Card #
Racing Age (Age as of 12/31/10):
Date of Birth: (mm/dd/yy):
Male Female
E-Mail Address:

Last Name:
First Name:
Address:
Apt #
City:
State: Zip:
Home Telephone:
Date of Race:
Category / Class Entered:
Sponsor / Team Name:

FAX ENTRIES PAID BY CREDIT CARD ONLY - NO REFUNDS
PRO & CAT 1
CAT 2
CAT 3

Pro Men
Pro Singlespeed
Pro Women
(A) Jr. Men 12-18
(B) Men 19-24
(C) Men 25-29
(D) Men 30-34
(E) Men 35-39
(F) Men 40-44
(G) Men 45-49
(H) Men 50 -54
(I) Men 55 +
(JJ) Jr. Wm 12-18
(KK) Women 19-29
(LL) Women 30-39
(MM) Women 40+
CAT 1 Single Speed

(J)  Jr. Men 18 & under
(K) Men 19-24
(L) Men 25-29
(M) Men 30-34
(N) Men 35-39
(O) Men 40-44
(P) Men 45-49
(Q) Men 50-54
(R) Men 55-59
(S) MEN 60+
(AA) Jr. Wm 18 & under
(HH) Women 19-29
(RR) Women 30-34
(TT) Women 35-39
(VV) Women 40-49
(XX ) Women 50+
(WW) Clydesdale
(SS) Single Speed

 

(aa) Women 14 & Under
(BB) Women 15-18
(CC) Men 10 & under
(DD) Men 12 & under
(EE) Men 14 & under
(FF) Men 16 & under
(GG) Men 18 & under
(T) Men 19-24
(U) Men 25-29
(V) Men 30-34
(X) Vet Men 35-39
(Y) Vet Men 40-44
(Z) Men 45-49
(YY) Men 50-54
(ZZ) Men 55 +
(NN) Women 19-29
(OO) Women 30-34
(PP) Women 35-39
(QQ) Women 40+
(W) Clydesdale 200lb+
Tandem (1-2 laps)
FEES
Registration $35 (due 5 days before race.) $
5 Days after date & race day, add $5.00 $
VIP Card ($25) $
Season Pass - 4 XC Races - $120 $
Season Pass - 4 XC Races & Stage Race - $180 $
Season Pass - 4 XC Races, Stage Race & Autumn Cup - $210 $
T- Shirt (100% Cotton) - $10.00 | Size - S M L XL $
No USA Cycling License Fee - add $5.00 (Per Race) $
Mail Race Results - $1.00  $
Total $
 
PAYMENT
Visa Mastercard
Name on Card:
Card Number:
Bank :
Expiration Date:
CVC:
Signature: X_____________________________________________________

Mail or Fax to:

RIM NORDIC
P.O. BOX 2990
Running Springs, CA 92382
Phone: (909) 867-2600, Fax: (909) 867-4128

In consideration of this entry, I hereby for myself, my executors, administrators and assignees waive any and all right of claims for damages I may have against Rim Nordic Ski Area, Inc., all sponsors and individuals associated with said event for any and all injuries sustained by me in this event. Also, none of the above are responsible for the loss of personal items not any other form of aggravation in connection with the said event. I attest and verify that I am physically fit and have trained for this event. In signing this form, I acknowledge I have read and full understand my own liability and do accept the restrictions.

Signature (if minor, parent must sign) X_________________________________________________

Date Signed: _________________