MRC 12 Hours of  STANK

 NOVEMBER 3, 2001

NORBA Permit Pending

Team Members:                 Print                                                                                                              NORBA # *         Racing age

1.  (Captain)___________________________________________       ____________       ________

2. (Co-Captain)_________________________________________      ____________      ________

3. (Flunky)____________________________________________      ____________      ________

* If you do not have a  NORBA license,  you will need to buy one the day of the race.  One day or one year licenses are available.

Category:      Expert_____   Sport_____  Junior_____  Master_____  Clydesdales_______

                                Male_____    Female_____   Co-ed______  Solo_____ (See website for classification details)

Team Name:    ____________________ Captain Address:_____________________

 Phone #  ___ ___-_______                                                               ______________________

$150 per team       $75 for Solo          Make checks payable to:   Memphis Racing Cyclists

                                                                                                                                                        265  McQuiston

                                                                                                                                                        Brighton, TN   38011

Caution: Mountain biking is an inherently dangerous sport. Rider negligence,  weather conditions, or sudden impact with pedestrians, other racers or fixed objects may cause serious injury or death.  Each rider assumes the risk associated with mountain bike racing and must sign a standard NORBA waiver and release form on site before receiving a race number and being allowed to participate in this event.