OFFICIAL BMXNZ-MCRA 12-15 DEVELOPMENT CAMPS

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This is your registration to the BMXNZ/MCRA skill development camps planned for the 2021/2022 BMX race season. By filling in this form, you are securing your place within the camp inside your region. If you are applying for another region, priority will be for that regions riders over outside region riders.

If you are a coach aspiring to learn more or help facilitate one or more of these camps, this form applies to you also. Please fill out the bottom section.

SECTION 1 = RIDER REGISTRATION

SECTION 2 - COACH REGISTRATION

SECTION 1 - RIDER REGISTRATION

ARE YOU REGISTERING A RIDER UCI AGED 12 - 15 OR AS A COACH FACILITATOR/LEARNER? *

WHAT REGION CAMP/S ARE YOU REGISTERING FOR IN 2021?

NORTHERN REGION: Mountain Raiders 9th/10th October

WAIKATO REGION: Hamilton 9th/10th October

CENTRAL REGION: Taupo 27th/28th November

TARANAKI REGION: New Plymouth 30th/31st October

WELLINGTON REGION: Kapiti 2nd/3rd October

MAINLAND NORTH REGION: Chch City 25th/26th September

MAINLAND SOUTH REGION: Dunedin 18th/19th September

WHAT REGION CAMP/S ARE YOU REGISTERING FOR IN 2022?

NORTHERN REGION: East City 15th/16th January

WAIKATO REGION: Te Awamutu 26th/27th February

CENTRAL REGION: Tauranga 29th/30th January

TARANAKI REGION: Hawera 29th/30th January

WELLINGTON REGION: Capital BMX 29th/30th January

MAINLAND NORTH REGION: North Canterbury 15th/16th January

MAINLAND SOUTH REGION: Alexandra 12th/13th February

WHAT REGION ARE YOU FROM?

WHAT CLUB ARE YOU FROM?

RIDERS FIRST AND LAST NAME:

RIDERS BIRTH DATE:

YYYY

PARENT/GUARDIAN NAME:

PARENT/GUARDIAN CONTACT EMAIL:

PARENT/GUARDIAN CONTACT PHONE NUMBER:

PLEASE FILL OUT THE WAIVER FORM | COPY & PASTE: https://forms.gle/KY8ABivzN6Wf16q59

NOT COMPLETED

COMPLETED

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DID YOU WANT TO JOIN THE MC RACE ACADEMY PRIVATE FACEBOOK GROUP WHERE WE POST RIDER TIPS? PLEASE COPY AND PASTE LINK: https://www.facebook.com/groups/1305243539569334

YES I HAVE JOINED

NO I HAVE NOT JOINED

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PLEASE TICK BOXES BELOW TO ACKNOWLEDGE EACH IMPORTANT NOTE! *

YOU WILL SEE A SMALL NOTE ON THE NEXT SCREEN AFTER YOU PUSH SUBMIT, AND AN EMAIL FROM GOOGLE FORMS WITH YOUR FILLED IN INFO. THIS MEANS IT HAS GONE THROUGH

ALL CAMP INFO (GROUP & TIME) WILL BE TO YOU ON EMAIL AT LEAST ONE WEEK PRIOR TO YOUR TRAINING DATES

PAYMENT FOR TRACK AND GATE USAGE OF $10 WILL BE COLLECTED ON THE DAY

Required

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