OFFICIAL ENTRY FORM

(Please Type or Print)

Contact Name: ___________________________________

Agency: __________________________________

Address: ___________________________________

City: ________________________ State / Zip:______________

Phone: ________________ Fax:_____________ E-Mail:_________________

Division 1- Harley Davidson w / Fairing

Division 2 - Harley Davidson w/ Windshield and all other motorcycles.

Expert Level – Any competitor who has won 1 or more individual awards in any police motorcycle riding competition or;

any competitor who has participated in 4 or more motorcycle competitions

Novice- any new or eligible competitor not meeting eligibility requirements of the Expert Level

Competitor:_________________________ Division:_____ Expert/Novice:__________

There is an individual entry fee of $40.00. Fee includes all riding skills, team competitions, complimentary breakfast and lunch on Fri-Sat., complimentary gift bag.

Registration will begin on August 13^th and continue through the 15^th at the event location.

___________# of individual competitors X $40.00 each = $______________

Please make checks payable to: National Police Motorcycle Riding Committee (NPMRC)