JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BM Track Cycling Entry Form 2021-2022
1. Please fill out one form per rider.
2. There is a entry fee of $30 to ride for the 2021-2022 track season
2. Hit 'Submit' and an invoice will be sent to you for payment
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of Rider
*
Your answer
Riders Parents Name & Contact Details (if U19)
Your answer
Email Address for Billing
*
Your answer
Physical Address for Billing
*
Your answer
Riders Mobile Number (or Parents if U19)
*
Your answer
Emergency Contact (Next of Kin)
*
Your answer
Emergency Contact (Next of Kin Phone Number)
*
Your answer
Track Age Category
*
Under 13 - 12 years or younger as at 31 December 2022
Under 15 = 13-14 years as at 31 December 2022
Under 17 = 15 - 16 years as at 31 December 2022
Under 19 = 17 - 18 years as at 31 December 2022
Senior = 19 - 34 years as at 31 December 2022
Elite = Any Rider 19+
Masters 1 - 35 - 44 years as at 31 December 2022
Masters 2 - 45 - 54 years as at 31 December 2022
Masters 3 - 55 years + as at 31 December 2022
For Masters Only - Track Age Grade Categories for Bike Manawatu Records
Masters 1 - 35 - 39 years as at 31 December 2022
Masters 2 - 40 - 44 years as at 31 December 2022
Masters 3 - 45 - 49 years as at 31 December 2022
Masters 4 - 50 - 54 years as at 31 December 2022
Masters 5 - 55 - 59 years as at 31 December 2022
Masters 6 - 60 - 64 years as at 31 December 2022
Masters 7 - 65 - 69 years as at 31 December 2022
Masters 8 - 70 - 74 years as at 31 December 2022
Masters 9 - 75 - 79 years as at 31 December 2022
Masters 10 - 80+ years as at 31 December 2022
Clear selection
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?
Saturday, 16th October
Saturday 23rd October
Both Sessions
N/A I am an returning rider
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of BikeManawatu.
Report Abuse
Forms
