Goodrich Racing sign up form

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
E-mail
Date of Birth
Height
Weight

Choose the clinic you wish to enroll in: 

Clinic Dates

December 11, 2005 February 5, 2006 April 2, 2006 July 22, 2006 October 22, 2006

Clinic cost is $125.00 per rider - Check or money order only, payable to Ethan Goodrich - Mail to: 345 E. Harmony Ave. Mesa, AZ 85210

If you have any questions feel free to call Ethan at 480-326-3696

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