2014 Virtual Mini Stage Races

ENTRY FORM FOR THE 2014 VIRTUAL MINI STAGE RACES

First Name:

Last Name:

Pseudonym

Enter with a pseudonym if you choose, such as Slick Rick the Ruler.

Address:

City:

State:

Zip:

eMail:

Phone:

Sex

To select or deselect multiple options, hold the "Ctrl" key when clicking.

Age:

We may use this to determine categories.

Your Height:

This is used to properly calibrate the system.

Weight:

This is used to properly calibrate the system.

Which Virtual Min Stage Races will you be entering.

To select or deselect multiple options, hold the "Ctrl" key when clicking.Click on the ones you plan to participate in.