Bike Manawatu Track Carnival - 18 January 2020
1. Please fill out one form per rider.
2. Payment is via cash on the day only


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Name *
Email *
Phone Number *
Emergency Contact - Next of Kin *
Emergency Contact - Next of Kin Phone Number *
Cycling New Zealand License Number
Club *
Track Age Category according to 2020 CNZ Licence *
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