Pre-Entry Form

Please fill out (1) one form per rider. Circle as many classes and days as apply. Rider must still come to Registration to check in. You will be required to sign a release at registration. Minors must be accompanied by parent or have a notarized note. If you are a minor rider and your parents will not be attending, please call to verify that you have the proper paperwork at 1-(574) 893-1649.   Rider Name: __________________________________ Riding Number: __________________________________     Bike Brand: __________________________________ Engine Displacement: _____________________________     Address: __________________________________ City: __________________________________     State: __________________________________ Zip: __________________________________     Phone Number: __________________________________ Age: __________________________________     Sponsors: _______________________________________________       _______________________________________________ Date of Birth: __________________________________   For questions on classes call 1-(574) 893-1649     Age is determined by your age as of January 1,   Racing Classes Friday Night Classes - December 26,     Bike Classes   50cc Open   65cc Open   85cc Open   Open Amateur 122cc & Up   Open Pro 122cc & Up (pay out)     Quad Classes   Mini Quad   Open Amateur ATV   Pro ATV (pay out)   Mini Quad - 6-8 70cc, Mini Quad - 8-13 90cc   Youth Quad Saturday Night Classes - December 27,     Bike Classes   50cc Open   65cc Open   85cc Open   Open Amateur 122cc & Up   Open Pro 122cc & Up (pay out)     Quad Classes   Open Amateur ATV   Pro ATV (pay out)   Mini Quad - 6-8 70cc, Mini Quad - 8-13 90cc   Youth Quad Entry Fees Pre-Entry Amateur $35.00 Pre-Entry Pro $45.00 Post-Entry Amateur $45.00 Post Entry Pro $55.00   Mail Payment and Form to:   Reads Racing Unlimited, Inc. 13253 East State Road 114 Akron, Indiana 46910 Attention: Entry Department   Pre-Entries must be postmarked no later than December 19, 2008   Checks or Money Orders accepted payable to: Reads Racing Unlimited, Inc. on Pre-Entries Only   No Credit Cards - Day of Event Cash Only - Sunday Classes - December 28,         Bike Classes Quad Classes   50cc 4-6 Open   Pro ATV (pay out)   50cc 7-8 Open   Open Amateur ATV   65cc 7-9   Youth Quad   65cc 10-11   Mini Quad   85cc 9-11   Mini Quad Jr.   85cc 12-15       Supermini       125 12-16 Youth       14-24       Women 12+ 105cc & Up       Women Jr. 65cc-85cc 7-11       Open Amateur 122cc & Up       Open Pro 122cc & Up (pay out)       250B 122cc TO 250cc 2 or 4 stroke       250C 122cc TO 250cc 2 or 4 stroke       Open B 122cc & Up       Open C 122cc & Up       25+       30+       40+       Pitbike - 50cc - 110cc 4 stroke       Pitbike - 111cc-125cc 4 stroke

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Reads Racing Unlimited, Inc. 13253 East State Road 114 Akron, Indiana 46910 1-574-893-1649