GRAND NATIONAL CHAMPIONSHIP

    NATIONAL SEMI-FINAL QUALIFIER

MOSIER VALLEY

Dallas/Ft. Worth, Texas USA

*

                                                                                                MARCH 13, 2003

 

PRE-ENTRY FORM                                                                            

 

                                          RIDER CLASSIFICATION

MINIBIKES(MODIFIED)   MOTORCYCLES(MODIFIED)                         STOCK & OPEN

__Teeny Mini Mod. 4-6 yrs.              __125 Nov__Int__Exp.                                       __Teeny Mini Stk. 4-6 yrs.

__Teeny Mini Mod. 7-8 yrs.              __250 Nov__Int__Exp.                                       __Teeny Mini Stk. 7-8 yrs.

__Super Teeny Mini 6-9 yrs.            __125 Schoolboy(12-15)                                    __Mini Mini 0-65cc 6-8 yrs.

__PW50-JR50, 4-8 yrs.                    __100cc        __Open 500cc                              __Mini Mini 0-65cc 9-11 yrs.

__Mini Mini 0-65cc 6-8 yrs.             __Over 25 Nov__Int__Exp.                               __Mini Stock 85cc 7-11 yrs.

__Mini Mini 0-65cc 9-11 yrs.          __Over 30 Nov__Int__Exp.                               __Mini Stock 85cc 12-13 yrs.

__Minibike Jr. 85c  7-11 yrs.          __Over 35             __Over 40                             __Mini Stock 85cc 14-16 yrs.

__Minibike Sr. 85cc 12-13 yrs.                                                                                       __Minibike Open  7-16 yrs.

__Minibike Sr. 85cc 14-16 yrs.       ------------------------------------                                __125 Stock Nov__Int.

   (Age Effective 9-01-02)                  __125 Expert STOCK                                        __250 Stock Nov__Int.

                                                                __250 Expert STOCK                                        __125 Open      __250 Open

 

            *NOTE:  All classes are modified unless they have the word “STOCK” in them. 

                A stock bike may be ridden in the modified class, but a modified bike may not be ridden in stock class

 

GNC Computer No.  _____________                                              GNC Bike No. ______________________

Name:_____________________________________________Phone No. _________________________

Address: _____________________________________________________________________________

City: _______________________________________ State: _______________  Zip:  _______________

Sponsor: _________________________________________________________ Bike Brand: _________

 

ENTRY FEES:  AMATEURS - $90/class;  EXPERTS - $95/class

                            The entry fee charged for the National Semi-Final Qualifier is a one-time entry

                            fee for the complete weekend for those who qualify for the FINAL; there will be

                            no further entry fees.  There will be no trophies or money for this event.

SCHEDULE:  PRACTICE:  8:00 A.M.                                RACE:  9:30 A.M.

                                                                    POST MARK DATE:  JANUARY 31, 2003

 

I understand that the above track and Grand National Championship and their directors will not be responsible or held liable for any loss

 or damages arising by reason of accident, occurrence, injuries, or damages to myself or members of my family and any minor child in

 my care while I am participating in a Grand National Championship event, whether or not such injury, accident or damages were caused

 by the negligence of the above track, Grand National Championship or any of their directors, directives, or people with whom they are associated.

                                               

                                                Rider Participant _________________________________________________________________

If rider participant is under 18, parent or guardian must sign here:

Parent/Guardian ____________________________________________________________________________________________

                                                                              Please mail Application to:

 

                                                              Jerry Surber, Grand National Championship

                                                                                  6434 Maple Avenue

                                                                                   Dallas, Texas 75235