Rider Details			Classes
Last Name:	*		MINI's                                    Max 40 entries per class	$	X
First Name:	*		4-6 years - Unclutched - (NO SX's)	$110
Email:	*		6-8 years - Unclutched	$110
Mobile #:	*		7-8 years clutched	$110
Postal Address:	*		9-11 years Clutched	$110
Town / City:	*		Non Competition	$40
Age on Race day:	*		JUNIORS                 Max 40 entries per class	$	X
Date of Birth:	*		8-10 years 85cc	$110
Racing #:	*		11-12 years 85cc	$110
Bike Make/Model/CC:			13-16 years 85cc	$110
Personal Transponder#:			12-14 years 125cc	$110
Sponsors:			15-16 years 125cc	$110
			14-16 years 250cc	$110
Date:			SENIORS/VETS/LADIES/ENDURO                 Max 40 entries per class	$	X
Parent/Legal Guardian:			MX1 - (251cc-Open 2 stroke + 251cc-Open 4 stroke)	$110
(If rider is under 16 years of age)			MX2 - (125cc-250cc 2 stroke + 250cc 4 stroke)	$110
Relationship:			Senior 125cc	$110
			Vets 35-44/Vets 45+	$110
			Ladies	$110
			Enduro	$110
Note on Transponders If personal transponder is supplied you must supply your transponder number to be eligible to tick the $10.00 discount from entry fee			Clubman	$80
			T-Shirt Orders
			Kids Tees - $20 Adults Tees - $25 Sizes 6 Sizes 8 SM 10 MD 12 LG 14 XL TOTAL TOTAL	$
			SUBTOTAL	$
			If you have your own transponder, deduct $10
			Late Entry Fee if you are entering after 26th January, 2012. $20
			Class 2 @ $80
			Camping fee @ $10 per site per night. Enter number of nights you require:	$
			One Event Licence @ $25.00
			TOTAL PAYMENT	$