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Qld Minimoto Ride Day Booking Form
ππΌπππππΏπ - MONDAY - 21/09/2020
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Email
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Your email
Rider Full Name
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Your answer
Address
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Suburb
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Post Code
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Ph Number
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Date of Birth
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MM
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DD
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YYYY
Next of Kin - Full Name
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Next of Kin - Contact No.
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RIDER PAYMENT - Pre-payments Close Thursday 5pm 17th of September
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Pre-Pay - JUNIOR - $90 / 6 - 16 Yrs
Pre-Pay - SENIOR - $100 / 17 Yrs+
Pay on the Day - JUNIOR - $110 / 6 - 16 Yrs
Pay on the Day - SENIOR - $120 / 17 Yrs+
Rider Category
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Minimoto (50cc)
Road/Bucket/Scooter/Minitard
Supermoto Slow (14 Yrs+ Only)
Supermoto Fast (14 Yrs+ Only)
QR Racers Clubman Lic No. (Application can be done Online $20/Day - $75/Yr) www.racers.world
Your answer
Racers Lic Expiry
MM
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DD
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YYYY
China Virus Declaration
Have you been out of the country Or to a Covid Hotspot in the last 14 days
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Yes
No
Have you been around someone with coronavirus?
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Yes
No
Do you have coronavirus?
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Yes
No
Do you have flu like symptoms or a fever?
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Yes
No
Have you been to a Coronavirus hotspot in the last 14 days?
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Yes
No
Bike & Gear Hire
Motor Bike Hire
Yamaha R15 / 150cc +$100
Yamaha R15 / 150cc With Tyre Warmers +$135
Pocketbike / 50cc +$70
Riding Gear Hire - $50(Pants/Jacket/Helmet/Gloves)
Small - size 30
Medium - size 32
Large - size 34-36
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