Goodrich Racing Rider Form

print and fill out information

Last Name____________________  First Name______________________

Home Phone_________________  Cell Phone____________________

Address__________________________________________

_________________________________________________

E-mail___________________________________________

Racing Number________

Rider age______________

Rider ability: (circle one)  Beginner      Novice     Intermediate      Pro

Type of Riding Accustomed To: (circle one)   Motocross       Desert       Enduro (trail riding)  

Event: (circle one)  Girls Clinic      Youth Clinic     Advanced Clinic

Event Date:( mm/dd/yyyy )___________

 

Print riders name:____________________________________________________________

Sign riders name:____________________________________________________________

Parent or guardian if under 18:_________________________________________________

Checks or money orders only, please make payable to Ethan Goodrich

Print and mail form to: Ethan Goodrich 345 E. Harmony Ave. Mesa, AZ 85210

return to home page