SEMRA 2010 Event Pre-Entry Form

To pre-register fill out web form and click submit, then see payment options below.

 

Round - Track: 

First Name:   Last Name: 
Address:
City:   State:         Zip:       
Phone#:    E-Mail:

Emergency Contact Name: 

Emergency Contact Phone Number:       

Bike Make:     Model/Engine:

Sponsor:   Tires:

Number of classes entered:  1  2   3   4   5   6   7

Please enter your bike's number for each class entered.
Spec HW
   		Kids Novice A*
 		 Kids Expert*
 Thumper 136
 
Spec LW
 Kids Novice B*
 		 Formula 1*
 		 Thumper 150
 
Spec Kids
 Adult Novice
 		 Formula 2
 		 GP85
 
Please note: Kids Expert and F1 run concurrently. Also Kids A and B run concurrently. SuperMini
 Supermoto
 


  Rent Transponder at track  $15.00

  Use personal AMB Transponder  $5.00 scoring fee
     Your transponder number: 
 
Fill out the form and click submit, then see Payment Options below.  If you make a mistake just resubmit the corrected complete form.

  

   

SEMRA
Classes Entered

Pre-Entry Fee

At Track Fee
cash only

First Class
Second
Third+

Transponder Rental
Scoring Fee

$40.00
$20.00
$10.00

$15.00 (includes scoring fee)
$5.00

$50.00
$25.00
$15.00