2010 Monster Energy Midwest Watercross Tour Entry Form

2010 Monster Energy Midwest Watercross Tour Entry Form

Rider E-mail Address
E-Mail:*
Important: Enter a valid e-mail address. Confirmation will be sent to this address.
Rider Information
First Name:*
Last Name:*
Address Line 1:*
Address Line 2:		Apt. or Suite No.
City:*
State:*	Choose a StateCANADA - EHAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code:*
Phone:
APBA Member #
Date of Birth*		mm/dd/yyyy
Social Security Number		Pro-Am & Expert riders Only
Emergency Phone #
Emergency Contact
Sponsors		Top 5 Sponsors Please
Choose Event Entering
Event Entering*	Select Event EnteringRd 1-Oscoda,MI - June 19Rd 2-Oscoda,MI - June 20Rd 7-Sandusky, OH - July 31Rd 8-Sandusky, OH - Aug 1Rd 9-Harrison Twp., MI - Aug. 14Rd 10-Harrison Twp., MI - Aug. 15
NOTE: For the Harbor Beach and Belle River National Tour events you must use the APBA National Tour entry form.
Pick Classes Entering
1st Class Entered	Choose 1st Class Entered1 - Beginner Ski Limited $45.002 - Beginner Runabout Limited $45.003 - Novice Ski Stock Spec $65.004 - Novice Ski Limited $65.005 - Novice Women Ski Limited $65.006 - Novice Runabout Limited $65.007 - Junior Ski 10-12 Stock Spec Lites $55.008 - Junior Ski 13-15 Stock Spec Lites $55.009 - Junior Ski 13-15 Limited $55.0010 - Amateur Ski Open $65.0011 - Amateur Runabout 4-Stroke Stock $65.0012 - Amateur Runabout NA Stock $65.0013 - Amateur Runabout NA Limited $65.0014 - Amateur Runabout 800 Limited $65.0015 - Veteran Ski Open $65.0016 - Veteran Runabout Open $65.0017 - Expert Ski Limited $80.0018 - Expert Runabout Limited $80.0019 - Expert Runabout Open $80.0020 - Pro-Am Ski Stock Spec $80.0021 - Pro-Am Ski GP $80.0022 - Pro-Am Women Ski Limited $80.0023 - Runabout 800 Open $80.0024 - Pro-Am Runabout Stock $80.0025 - Pro-Am Runabout Open $80.0026 - Women Runabout Limited $80.0027 - Sport Modified $65.0028 - Sport Spec $65.0029 - Amateur Freestyle $30.0030 - Pro Freestyle $30.00
Boat # and Brand	Select 1st Class BrandKawasakiSea-DooYamahaHydrospacePolarisHondaTigershark
2nd Class Entered	Choose 2nd Class Entered1 - Beginner Ski Limited $45.002 - Beginner Runabout Limited $45.003 - Novice Ski Stock Spec $65.004 - Novice Ski Limited $65.005 - Novice Women Ski Limited $65.006 - Novice Runabout Limited $65.007 - Junior Ski 10-12 Stock Spec Lites $55.008 - Junior Ski 13-15 Stock Spec Lites $55.009 - Junior Ski 13-15 Limited $55.0010 - Amateur Ski Open $65.0011 - Amateur Runabout 4-Stroke Stock $65.0012 - Amateur Runabout NA Stock $65.0013 - Amateur Runabout NA Limited $65.0014 - Amateur Runabout 800 Limited $65.0015 - Veteran Ski Open $65.0016 - Veteran Runabout Open $65.0017 - Expert Ski Limited $80.0018 - Expert Runabout Limited $80.0019 - Expert Runabout Open $80.0020 - Pro-Am Ski Stock Spec $80.0021 - Pro-Am Ski GP $80.0022 - Pro-Am Women Ski Limited $80.0023 - Runabout 800 Open $80.0024 - Pro-Am Runabout Stock $80.0025 - Pro-Am Runabout Open $80.0026 - Women Runabout Limited $80.0027 - Sport Modified $65.0028 - Sport Spec $65.0029 - Amateur Freestyle $30.0030 - Pro Freestyle $30.00
Boat # and Brand	Select 2nd Class BrandKawasakiSea-DooYamahaHydrospacePolarisHondaTigershark
3rd Class Entered	Choose 3rd Class Entered1 - Beginner Ski Limited $45.002 - Beginner Runabout Limited $45.003 - Novice Ski Stock Spec $65.004 - Novice Ski Limited $65.005 - Novice Women Ski Limited $65.006 - Novice Runabout Limited $65.007 - Junior Ski 10-12 Stock Spec Lites $55.008 - Junior Ski 13-15 Stock Spec Lites $55.009 - Junior Ski 13-15 Limited $55.0010 - Amateur Ski Open $65.0011 - Amateur Runabout 4-Stroke Stock $65.0012 - Amateur Runabout NA Stock $65.0013 - Amateur Runabout NA Limited $65.0014 - Amateur Runabout 800 Limited $65.0015 - Veteran Ski Open $65.0016 - Veteran Runabout Open $65.0017 - Expert Ski Limited $80.0018 - Expert Runabout Limited $80.0019 - Expert Runabout Open $80.0020 - Pro-Am Ski Stock Spec $80.0021 - Pro-Am Ski GP $80.0022 - Pro-Am Women Ski Limited $80.0023 - Runabout 800 Open $80.0024 - Pro-Am Runabout Stock $80.0025 - Pro-Am Runabout Open $80.0026 - Women Runabout Limited $80.0027 - Sport Modified $65.0028 - Sport Spec $65.0029 - Amateur Freestyle $30.0030 - Pro Freestyle $30.00
Boat # and Brand	Select 3rd Class BrandKawasakiSea-DooYamahaHydrospacePolarisHondaTigershark
4th Class Entered	Choose 4th Class Entered1 - Beginner Ski Limited $45.002 - Beginner Runabout Limited $45.003 - Novice Ski Stock Spec $65.004 - Novice Ski Limited $65.005 - Novice Women Ski Limited $65.006 - Novice Runabout Limited $65.007 - Junior Ski 10-12 Stock Spec Lites $55.008 - Junior Ski 13-15 Stock Spec Lites $55.009 - Junior Ski 13-15 Limited $55.0010 - Amateur Ski Open $65.0011 - Amateur Runabout 4-Stroke Stock $65.0012 - Amateur Runabout NA Stock $65.0013 - Amateur Runabout NA Limited $65.0014 - Amateur Runabout 800 Limited $65.0015 - Veteran Ski Open $65.0016 - Veteran Runabout Open $65.0017 - Expert Ski Limited $80.0018 - Expert Runabout Limited $80.0019 - Expert Runabout Open $80.0020 - Pro-Am Ski Stock Spec $80.0021 - Pro-Am Ski GP $80.0022 - Pro-Am Women Ski Limited $80.0023 - Runabout 800 Open $80.0024 - Pro-Am Runabout Stock $80.0025 - Pro-Am Runabout Open $80.0026 - Women Runabout Limited $80.0027 - Sport Modified $65.0028 - Sport Spec $65.0029 - Amateur Freestyle $30.0030 - Pro Freestyle $30.00
Boat # and Brand	Select 4th Class BrandKawasakiSea-DooYamahaHydrospacePolarisHondaTigershark
Total This Round
Payment Information
To pay for your Midwest Watercross Tour entry by credit card, debit card, check, or Paypal you must have a Paypal account. Paypal is the #1 payment method for paying for anything on the internet and one of the most secure. Once you click SUBMIT you will be directed to Paypal to make the payment. If you have a Paypal account you can choose how you want to pay. If you do not have a Paypal account you must sign up for one. You can link payment for your entries to one of your existing credit cards, debit card, checking account or sign up for a Paypal credit card. It is fast, easy and safe!
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