REGISTRATION FORM

لم يتم تفعيل JavaScript في المتصفح، لذا لا يمكن فتح الملف. عليك تفعيلها وإعادة التحميل.

REGISTRATION FORM

BEHIND BARS MX CAMP

يمكنك تسجيل الدخول إلى Google لحفظ مستوى التقدم. مزيد من المعلومات

عنوان بريد إلكتروني *

Name *

First name and surname

Gender *

Male

Female

Phone number *

Please leave a gap eg. 021 000000

Postal address *

Date of birth *

شهر

YYYY

Age *

Riding ability *

Please rate the participants riding ability

Beginner

Novice

Experienced

Expert

Preferred week for MX camp *

1st week of school holidays (28th September - 2nd October )

2nd week of school holidays (5th October - 9th October)

Riding experience *

Where does the participant does most of their riding (tick more than one if needed)

On the farm

At trail rides

At motocross tracks

Motocross racing

أخرى:

مطلوب

Bike *

Model, cc and year of dirt bike the participant is bringing eg. YZ85 2010. If the participant is being supplied a bike by us, please answer with 'BB bike' (this needs to be pre-organised).

محو النموذج

عدم إرسال كلمات المرور عبر نماذج Google مطلقًا.

تم إنشاء هذا النموذج داخل status.net.nz. الإبلاغ عن إساءة الاستخدام

نماذج