MARIN Dusk 'til Dawn - Entry Form

Please complete this form to enter. Required fields are marked with red.

IMPORTANT! You must continue on to the next screens and complete online payment, or you will not be entered.
   
* I have read and understand the Event Rules on the previous screen.
   
Category (select one): *
      Solo Male
      Solo Female
      Pair Male
      Pair Female
      Pair Mixed
      Team Male - 3 Riders
      Team Female - 3 Riders
      Team Mixed - 3 Riders
      Team Male - 4 Riders
      Team Female - 4 Riders
      Team Mixed - 4 Riders
 
Team/Sponsor: 
 
Captain or Soloist's Contact Information:
First Name 
*  
Surname 
*  
Sex 
*   Male Female
Age 
*  
Email 
*  
Phone 
*  
House Number or Name 
*  
Address 
*  
Address (Cont') 

Town 
*  
County 
*  
Post Code 
* 
 
Pair/Team Details:
 
     Rider 2:     Name           Sex Male Female            Age
     Rider 3:     Name           Sex Male Female            Age
     Rider 4:     Name           Sex Male Female            Age
 
Declaration: I am age 18 or over, of sound mind and body, and wish to enter the selected events for the purpose of mountain bike racing. I understand that mountain biking is a hazardous sport, and I agree indemnity to both the organisers and the landowners in the event of loss or injury to myself. I agree to wear a helmet during racing and practice.
   
* I have read, understand, and agree to the declaration above.
   
Name on credit card / Paypal account that will be used for payment *