Registration OPEN for 2022 Beginner's League!

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Rockford BMX - 4950 Safford Road Rockford, Illinois 61101

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Registration includes:

Free Jersey!

Free Numberplate!

Free one-year membership to USABMX ($60 value)!!

2022 Beginners League Registration Form

Rider's Name *

First

Last

Rider's Age *

Male or Female *

Male
Female

Rider's Birth Date *

Parent's Name *

First

Last

Will this parent also be registering to participate? *

Yes
No

Parent's Age *

Parent's Birth Date *

Male or Female *

Male
Female

Parent Phone *

Parent Email *

Parent Address *

Address Line 1

Address Line 2

City

State

Zip Code

Beginners League *

Registration for one rider - $ 159.00
Registration for one rider and one parent - $ 238.00

Do you have a BMX style bike to use? *

Yes.
No, I need a loaner bike.
No, I need two loaner bikes.

Do you have a BMX style helmet to use? *

Yes.
No, I need a loaner helmet.
No, I need two loaner helmets.

Rider's Shirt Size (Order 1 size larger) *

Parent's Shirt Size (Order 1 size larger) *

Total Amount

$ 0.00