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ATA Lion's Head Fall Trial Pre-Entry Form
Please fill out the following form to pre-register for the ATA Lion's Head Fall Trial on Sunday, October 22nd, 2023. Please complete one form for each participant.
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* Indicates required question
Full Name
*
Your answer
Email address
*
Your answer
City/Town of Residence
*
Your answer
Telephone Number
*
Your answer
Rider Number
*
Please ensure this number is attached to your bike in place of a headlight.
Your answer
Class
*
What class will you be riding?
Expert
Advanced
Intermediate
Junior
Novice
Youth
V45
V55
Are you currently a CMA member?
*
Yes, I am a CMA member. (entry fee: $30.00)
No, I am a Clubman. (entry fee: $40.00)
CMA License Number (if a member)
Your answer
After submitting this form, please send your e-transfer entry fee to
atatrials@gmail.com
to complete your registration.
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