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Saturday, 26 April 2008 12:02 |
As of 2009, all registration and waivers must completed online at bikereg.com, official online registration of the OMBC Series. No mail entry's will be accepted. 12 & 24 HOURS OF MOHICAN REGISTRATION FORM
This form MUST be submitted with the Team Captain’s Accident Waiver and Release of Liability Form and Full Payment for the Team.
TEAM NAME:_______________________________________________________
TOWN & STATE, COUNTRY:_______________________________________________________
TEAM CLASS:_________________________________________
AMOUNT PAID $_______________
FOUR-PERSON: Coed (any combination), Men's Expert, Women’s Expert, Men's Sport, Women’s Sport, and Clydesdale (200+ lbs. each or total team weight of 830+ lbs.). SOLO: Men’s and Women’s Solo DUO OPEN: 2 Men or 2 Women or 1 Man and 1 Woman. TRIO OPEN: Any combination of 3 riders. SPONSORED BY:_____________________________________________________________________________ Note: When filling out the section below, please list the class that each individual team member most recently raced in—not the 24 Hour race class you are currently registering for. Remember: Sandbagging is not cool! | (Weight requirement for Clydesdales only) | | 1. TEAM CAPTAIN:______________________________ | Class__________ | Age_______ | M___ | F___ | Wt.______ | | 2. CO-CAPTAIN: ______________________________ | Class__________ | Age_______ | M___ | F___ | Wt.______ | | 3. TEAMMATE #3: ______________________________ | Class__________ | Age_______ | M___ | F___ | Wt.______ | | 4. TEAMMATE #4: ______________________________ | Class__________ | Age_______ | M___ | F___ | Wt.______ | | 5. TEAMMATE #5: ______________________________ | Class__________ | Age_______ | M___ | F___ | Wt.______ |
Please Indicate T-Shirt Qty./Sizes required for your team: _____(Med) _____ Lrg) ____(X-Lg) ____(XX-Lg) ____(XXX-Lg)
Please enter our team in accordance with these terms:
Team Captain's Signature _____________________________________________________Date_______________
24 Hour Race Entry Fee's
Four-Person and Coed Team Entry Fee: $65 per racer x 4 = $260.00
Men's and Women's Solo Entry Fee: $95 per racer 12 Hour Race Entry Fee's Men's and Women's Solo Entry Fee: $85
Duo Open Team Entry Fee: $75 per racer x 2 = $150.00
Trio Open Team Entry Fee: $65 x 3 = $195.00
Late Entry Pricing for BOTH 12 and 24 Hour Races: AFTER August 31, add $10 per racer Saturday Race Day Registration, add $20 per racer Entry Fees are NON-refundable.
Once your team has been accepted, you have, in essence, purchased 1, 2, 3, 4 or 5 spaces. If a team member drops-out, you may fill that slot by submitting a new release form on Saturday Check in and notifying us who is being replaced by whom.
Questions: Email Ryan O'Dell at
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Last Updated ( Wednesday, 29 July 2009 17:42 )
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12/24 Hour Registration Form
