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Rim Nordic Mt. Bike Racing 2008 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 Office Use Only Catg.______Bib #______ Total Paid $___________ Date Rcv'd___________ Check/Visa/Cash Int.____
NORBA LICENSE #: Rim Nordic Racing Card No. RACING AGE (Age as of 12/31/08): DATE OF BIRTH: (mm/dd/yy): MALE FEMALE Email address:
LAST NAME: FIRST NAME: M.I.: ADDRESS: APT #: CITY: STATE: ZIP: HOME TELEPHONE: DATE OF RACE: Category/Class Entered - Please X the category you race in and enter the corresponding letter or # here: Sponsor/Team Name:

Rim Nordic Mt. Bike Racing 2008 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

Office Use Only
Catg.______Bib #______
Total Paid $___________
Date Rcv'd___________
Check/Visa/Cash Int.____

NORBA LICENSE #:

Rim Nordic Racing Card No.

RACING AGE (Age as of 12/31/08):

DATE OF BIRTH: (mm/dd/yy):

MALE FEMALE

Email address:

LAST NAME: FIRST NAME: M.I.:
ADDRESS: APT #:
CITY: STATE: ZIP:

HOME TELEPHONE:

DATE OF RACE:

Category/Class Entered - Please X the category you race in and enter the corresponding letter or # here:

Sponsor/Team Name:

FAX ENTRIES PAID BY CREDIT CARD ONLY

visa master

PRO & EXPERT

SPORT

BEGINNERS - JUNIORS

Pro/Semi Pro Men (circle one)
Pro/Semi Pro Men Singlespeed
Pro Women
(A) Expert Jr. Men 12-18
(B) Expert Men 19-24
(C) Expert Men 25-29
(D) Expert Men 30-34
(E) Expert Men 35-39
(F) Expert Men 40-44
(G) Expert Men 45-49

(H) Expert Men 50 -54

(I) Expert Men 55 +

(SS-E) Expert Single Speed

(JJ) Expert Jr. Wm 12-18
(KK) Expert Women 19-29
(LL) Expert Women 30-39
(MM) Expert Women 40+

(J) Sport Jr. Men 18 & under
(K) Sport Men 19-24
(L) Sport Men 25-29
(M) Sport Men 30-34
(N) Sport Men 35-39
(O) Sport Men 40-44
(P) Sport Men 45-49
(Q) Sport Men 50-54
(R) Sport Men 55-59

(S) Sport 60+

(AA) Sp. Jr. Wm 18 & under
(HH) Sport Women 19-29
(RR) Sport Women 30-34
(TT) Sport Women 35-39

(VV) Sport Women 40-49
(XX ) Sport Women 50+
(WW) Sport Clydesdale
(SS) Sport Single Speed

NO REFUNDS

(aa)Women 14 & Under (1 lap)
(BB) Women 15-18 (1 lap)
(CC) Men 10 & under (1 lap)
(DD) Men 12 & under (1 lap)
(EE) Men 14 & under (1 lap)
(FF) Men 16 & under
(GG) Men 18 & under

BEGINNERS
(T) Beg.Men 19-24
(U) Beg. Men 25-29
(V) Beg. Men 30-34
(X) Beg. Vet Men 35-39
(Y) Beg. Vet Men 40-44
(Z) Beg. Men 45-49
(YY) Beg. Men 50-54

(ZZ) Beg Men 55 +
(NN) Beginner Women 19-29
(OO) Beginner Women 30-34
(PP) Beginner Women 35-39
(QQ) Beginner Women 40+
(W) Beg. Clydesdale 200lb+
Tandem (1-2 laps)

FEES
Registration ($35 ....jr. $25) VIP Card ($25) Season Race Pass (4 Race Series) ($120) Season Pass with Stage Race ($160) T-Shirt (100% cotton) $10.00 Size - S M L XL	$ $ $ $
No NORBA License Fee - $5.00	$
Mail Race Results - $1.00	$
TOTAL	$

Payment Method
Check or Money Order Visa Mastercard Name on Card Card Number - - - Bank Card Expires Signature____________________________________________________
MAIL or FAX to: RIM NORDIC 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.

Rim Nordic Mt. Bike Racing 2008 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

NORBA LICENSE #:

Rim Nordic Racing Card No.

RACING AGE (Age as of 12/31/08):

DATE OF BIRTH: (mm/dd/yy):

MALE FEMALE

Email address:

LAST NAME: FIRST NAME: M.I.:
ADDRESS: APT #:
CITY: STATE: ZIP:

HOME TELEPHONE:

DATE OF RACE:

Category/Class Entered - Please X the category you race in and enter the corresponding letter or # here:

Sponsor/Team Name:

FEES

Payment Method

Check or Money Order Visa Mastercard

Name on Card

Card Number - - -

Bank Card Expires

Signature____________________________________________________

MAIL or FAX to:

RIM NORDIC

Box 2990

Running Springs, CA 92382

Phone: (909) 867-2600, Fax: (909) 867-4128

Signature (If minor, Parent must sign)__________________________________________

Date Signed_______________________

Rim Nordic Mt. Bike Racing 2008 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

NORBA LICENSE #:

Rim Nordic Racing Card No.

RACING AGE (Age as of 12/31/08):

DATE OF BIRTH: (mm/dd/yy):

MALE FEMALE

Email address:

LAST NAME: FIRST NAME: M.I.: ADDRESS: APT #: CITY: STATE: ZIP:

HOME TELEPHONE:

DATE OF RACE:

Category/Class Entered - Please X the category you race in and enter the corresponding letter or # here:

Sponsor/Team Name:

FEES

Payment Method

Check or Money Order Visa Mastercard

Name on Card

Card Number - - -

Bank Card Expires Signature____________________________________________________

MAIL or FAX to:

RIM NORDIC

Box 2990

Running Springs, CA 92382

Phone: (909) 867-2600, Fax: (909) 867-4128

Signature (If minor, Parent must sign)__________________________________________

Date Signed_______________________

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

LAST NAME: FIRST NAME: M.I.:
ADDRESS: APT #:
CITY: STATE: ZIP:

Bank Card Expires

Signature____________________________________________________