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Elite - U19 Championships

Nov 23 - 25th, 2018

The Friday night will also include the Westral Wheelrace
Please use this championship form if you are either an Elite or U19 rider.
ONLY USE the Friday registration, if you are NOT participating in any of the Championship events

Registration closes 8am Wednesday, of race week

NO LATE ENTRIES!!!

2018 Elite/U19 State Championships including Westral

If you are human, leave this field blank.

Entries for Team Sprint / Team Pursuit taken on the day $20/team

Event Date: *

First Name: *

Last Name *

Gender *

Race Category *

Please select your events *

Keirin

Westral

Points

Sprint

Scratch

TT

IP

Select no. of additional rider(s) to register *

First Name:(2nd rider) *

Last Name:(2nd rider) *

Gender *

Race Category *

Please select your events *

Keirin

Westral

Points

Sprint

Scratch

TT

IP

First Name:(3rd rider) *

Last Name:(3rd rider) *

Gender *

Race Category *

Please select your events *

Keirin

Westral

Points

Sprint

Scratch

TT

IP

Email *

Select payment: *

Individual Rider - $80.00

Select payment: *

2 Riders - $120.00

Select payment: *

3 Riders - $150.00

Please select your club *

Do you (all) riders have a CA licence? *

Comments

Racing commences 7pm, with warm up from 6pm on Friday night. - please ensure you have your number on and visible!

For the Team Pursuit and Team Sprint, entries taken on the day, no later than 30minutes before racing commences. $20/TEAM

Saturday and Sunday RACING will commence at 10am

If you encounter issues with your registration please contact : racing@trackcyclingwa.com.au

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