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Indiana State Championship Race Entry

Imagination Glen BMX, Portage, IN

We’re looking forward to seeing your family at Imagination Glen BMX on Sunday, July 19 for our Indiana State Championship Race.

Use the form below to pre-register up to three riders, and skip the line on race day. Once you complete all the information on the form, you can “check out,” and pay with a credit or debit card, via PayPal (you don’t need a PayPal account to pay).

SCR Pre-Reg

Your Name*
First Last
Your Email Address*
Your Phone*
How Many Riders Do You Want to Sign Up?*
Rider 1 USA BMX Serial Number*
Rider 1 First Name*
Rider 1 Last Name*
Rider 1 Age*
Rider 1 Entries*
- Rider1 Class (Nov/Int/Exp/Grl)
- Rider1 Class/Open
- Rider1 Cruiser
- Rider1 Cruiser/Open
- Rider1 Class/Cruiser
- Rider1 Class/Cruiser/Open
- Rider1 Strider
Rider 1 Proficiency*
Rider 1 Class Bike #*
Rider 1 Cruiser Bike #*
Rider 1 Open Bike #*
Rider 1 Strider Bike #*
Rider 2 USA BMX Serial Number*
Rider 2 First Name*
Rider 2 Last Name*
Rider 2 Age*
Rider 2 Entries*
- Rider2 Class (Nov/Int/Exp/Grl)
- Rider2 Class/Open
- Rider2 Cruiser
- Rider2 Cruiser/Open
- Rider2 Class/Cruiser
- Rider2 Class/Cruiser/Open
- Rider2 Strider
Rider 2 Proficiency*
Rider 2 Class Bike #*
Rider 2 Cruiser Bike #*
Rider 2 Open Bike #*
Rider 2 Strider Bike #*
Rider 3 USA BMX Serial Number*
Rider 3 First Name*
Rider 3 Last Name*
Rider 3 Age*
Rider 3 Entries*
- Rider3 Class (Nov/Int/Exp/Grl)
- Rider3 Class/Open
- Rider3 Cruiser
- Rider3 Cruiser/Open
- Rider3 Class/Cruiser
- Rider3 Class/Cruiser/Open
- Rider3 Strider
Rider 3 Proficiency*
Rider 3 Class Bike #*
Rider 3 Cruiser Bike #*
Rider 3 Open Bike #*
Rider 3 Strider Bike #*
Total Entry Fees
Total Entry Fees
$0.00

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