BM Track Cycling Entry Form 2022-2023 
1. Please fill out one form per rider.
2. There is a entry fee of $30 to ride for the 2022-2023 track season
2. Hit 'Submit' and an invoice will be sent to you for payment

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Name of Rider *
Riders Parents Name & Contact Details (if U19)
Email Address for Billing *
Physical Address for Billing *
Riders Mobile Number (or Parents if U19) *
Emergency Contact (Next of Kin) *
Emergency Contact (Next of Kin Phone Number) *
Track Age Category *
For Masters Only - Track Age Grade Categories for Bike Manawatu Records
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It is mandatory for all new 'Rookie Riders' to complete a 'Track Orientation' day. If you are a new rider, please indicate which date you will be attending one of these sessions?
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