Online Registration Form

Saturday Night July 26th

On-Line Race Entry Policy
PLEASE  READ  THE  FOLLOWING  RELEASES
BEFORE  REGISTERING
Must be Signed at the Track During Registration
  • Registrations will be accepted through noon Saturday August 11th.
You MUST Have A Trackside ID Number 
to Compete In This Event.
To Register Online Without An ID Number
Type "New" In the Required Fields.
TRACKSIDE ID #                    

All Fields Marked with * are REQUIRED
Name*
  
Address* City*  St.*  Zip.* 
  
Phone #*  Parent's Name 
  
Email Address* 
You MUST Input your Email Address		 Birthday* 
     		Second Ph. # 
    
 
Bike Information*
Size  cc Brand Number

 

Class 1*

To race the bike entered above in additional classes

Class 2 - Select Class

 Class 3 - Select Class Class 4 - Select Class

  

To Register The Same Rider On A Second Bike, Please Complete This Section

Bike 2 Information
Size  cc Brand Number

Bike 2 - Class 1

To race the Second Bike in additional classes
Bike 2 Class 2 - Select Class Bike 2 Class 3 - Select Class Bike 2 Class 4 - Select Class
  
Sponsors 
I, the undersigned do hereby agree to hold harmless the owner, management and track employees of VILLAGE CREEK MX PARK for any and all liability, injury or damage caused by or in any way arising out of or in connection with the facilities and services of VILLAGE CREEK MX PARK.
Signature (Rider) *   Date: *
Signature (Parent)  Date: 
Note: Parents will be required to sign MINOR RELEASE FORM at Sign-in
The signature(s) above are legal and binding signatures as governed by Texas law
Texas Electronic Signature Law
  
After Completing The Entry Form
Carefully Review All Information
Then
Click the "Submit" Button Below
Once

A Confirmation Page will be Displayed
IF All Information Was Correctly
Submitted

  

To Clear ALL INFORMATION on the Form
Click The RESET Button