Bavarian Bike & Brews Festival

phone (509) 548-5615 or 548-5623 fax (509) 548-9046*

RACE / FESTIVAL DAY – SATURDAY, JUNE 3^rd, 2006

BBB is an IMBA sponsored race. YOU DO NOT NEED A NORBA LICENSE.

OFFICIAL ENTRY FORM

Name_________________________________Birth Date____________Age______Gender M F

Address_________________________________City___________State________Zip_________

Phone (____)____________________E-mail_________________________________________

Registration for Race: $30.00. For those 18 and under $15.00

Race Category / Class (mark with “X”)

YOUTH CATEGORIES	Boys	Girls
10 yrs and under	________	________
11 to 14 yrs	________	________
15 to 18 yrs	________	________
Junior Expert (18 & Under) Races with the Expert racers	________	________

SPORT CATEGORIES	Men	Women
19-29 yrs	________	________
30-39 yrs	________	________
40-49 yrs	________	________
50+ yrs	________	________
Single Speed (men & women combined)	________

EXPERT CATEGORIES	Men	Women
19-29 yrs	________	________
30-39 yrs	________	________
40-49 yrs	________	________
50+ yrs	________	________
Single Speed (men & women combined)	________

OPEN CATEGORIES	Men	Women
all ages	________	________

CLYDESDALE CATEGORIES
200 lbs. + (men & women combined)	________

SPECIAL CATEGORIES (Not part of the Indie Series)
Bike wt. ≥ 40 lbs (18 kg)	________

Race Registration Fees: $_______

Beer Festival Entrance Fee is $12.00 Do NOT include, pay at the door day of event only.

NO PETS ALLOWED ON PREMISES

Camping available on site. $5.00 per person.

Make checks payable to : Leavenworth Fat Tire Club

Payment: Check________Credit Card: Visa or Mastercard only (circle one)

Card #:________________________________Exp. Date______________

Signature____________________________________________________

TOTAL ON CARD $_________________ *FAX entries accepted only with a credit card.