WORCS Racing :: (435) 635-1597

Online Registration

RIDER INFORMATION *=Required

First name:*	Midddle Initial:*	Last Name:*

Address:*

City:*

State:*

Zip:*

Day Phone:*	Alternate Phone:

E-Mail:*	Age:*	DOB (mm/dd/yyyy):*


Are you a New Member?	WORCS ID Number: (Currnet Members Only)
- Yes
	Transponder Number: (Currnet Members Only)

	Bike Number:


Are you a pro rider?	SSN - (Required for Pro Riders Only)
- Yes

Sponsors:

MEMEBERSHIP FEES *

	- Already a WORCS Member ($0.00)
	- Annual WORCS Membership ($40.00)
	- WORCS Pro License & Membership ($100.00)
	- WORCS Minis ($30.00)
	- Weekend Pass ($10.00)

(Weekend pass includes number and transponder rental and is required for Non-Members. You will get the WORCS discounts for this race if you sign up for a $30 membership!)

Primary Class :*

Bike/ATV Desciption:* (Include Make, Model, and CCs. Example: Honda CRF 250)

Register for Race:* (if race is not listed it is too late to register online)

There is a $10 additional cost for the Oceano Dunes Race!

Race Class 1:

Race Class 2:

Bike #:	Bike/ATV Type 2:

Race Class 3:

Bike #:	Bike/ATV Type 3:

UNCLASSIFIED PRACTICE RACE

	- I am NOT Entering the Unclassified Practice Race ($0.00)
	- I am Entering the Unclassified Practice Race ($25.00)

Other Racing Associations:

MRAN:	NMA:	OMRA:	SIDRA:	STORM:	TORO:	USRA :