Please fill out all information, fill out a waiver and then proceed to pick up a number!
Name *
E-Mail *
Address *
Phone *
Date of birth *
Gender * MFA
Club *
Series or 1 day * Series passHeron lakesInfieldCascade locks 1Cascade locks 2State ChampsFernwoodRainier HS
OBRA License * Do not haveSingle dayAnnual
License number *
USAC License
Contest * Cat 4 OpenCat 4 masters 35+Beginner OpenMasters 50Masters 60Masters 70+Cat 3 35+ClydesdalesJr 1/2/3Cat 2/3Cat 3/4/5 Jr OpenCat 3/4/5 Jr WomenCat 1/2 Open1/2 Women1/2 35+ Masters OpenCat 2/3 WomenCat 4 Women1/2 Masters 35+ WomenCat 3 35+WomenMaster 50/60 WomenAthenasJr 1/2 WomenBeginner WomenSinglespeed OpenSinglespeed Women
Contest 2 Cat 4 OpenCat 4 masters 35+Beginner OpenMasters 50Masters 60Masters 70+Cat 3 35+ClydesdalesJr 1/2/3Cat 2/3Cat 3/4/5 Jr OpenCat 3/4/5 Jr WomenCat 1/2 Open1/2 Women1/2 35+ Masters OpenCat 2/3 WomenCat 4 Women1/2 Masters 35+ WomenCat 3 35+WomenMaster 50/60 WomenAthenasJr 1/2 WomenBeginner WomenSinglespeed OpenSinglespeed Women
State Championships category * Open 4Women 4Open NoviceWomen NoviceClydesdalesAthenasOpen Masters 50-54Open Masters 55-59Open Masters 60-64Open Masters 65-69Open Masters70+Women JR 15-16Women JR 17-18Women masters 50-54Women masters 55-59Women masters 60-64Women masters 65-69Women masters 70+Open JR 15-16Open JR 17-18Open Senior 19-29Open Masters 30-34Open Masters 35-39Open Masters 40-44Open Masters 45-49Women Senior 19-29Women Masters 30-34Women Masters 35-39Women Masters 40-44Women Masters 45-49Open Jr 9-10Open Jr 11-12Open Jr 13-14Women JR 9-10Women JR 11-12Women JR 13-14Singlespeed openSinglespeed WomenWomen 1/2Women 3Open 1/2Open 3
CX age( age on FEB 1 2024) *
Emergency Contact *
Emergency Phone *
