Entry Form


Registration opens January 1st! Here is the entry form to get you started or click one of the links to register online.

Click here for PDF Version

BIG BEAR VALLEY RACE ASSOCIATION
2019 NUE / MTB GRAN FONDO ~ September 28, 2019

teambigbear@aol.com ~ (909) 633-6729
RACE DAY REGISTRATION IS ALWAYS ACCEPTED!
On-site registration is cash or check only!
Late Fee / On-site Registration – $15.00

PLEASE PRINT CLEARLY Bib #: ______________
Date of Birth: ____/_____/_____
Last Name: _______________________________ First Name: ____________________
Mailing Address: ___________________________________________________________
City: __________________________________________ State: _____ Zip: _________
Sponsor: _________________________________________________________________
Cell Phone: (_____)__________________ Racing Age (Age as of 12/31/2019) ________
Email: ____________________________________________________________________
Emergency Contact: _____________________________ / Cell #: ____________________

All Fees are non-transferable and non-refundable
RACE ENTRY FEES 1/1 TO 5/31/19 6/1 TO 9/26/19 ON-SITE REG
NUE 100K / 100K GRAN FONDO / 100K GG  $135.00  $155.00  $170.00
NUE 75K / 75K GRAN FONDO / 75K GG  $135.00  $155.00  $170.00
50K GRAN FONDO  $ 80.00  $ 90.00  $110.00
30K GRAN FONDO  $ 70.00  $ 85.00  $105.00
20K GRAN FONDO  $ 70.00  $ 85.00  $105.00
TOTAL ________
NUE CATEGORIES MTB GRAN FONDO CATEGORIES
 1 – NUE – Men’s Open – Grizzly 100 Race            10 – 100k MTB Gran Fondo
 2 – NUE – Women’s Open – Grizzly 100 Race            11 – 75k MTB Gran Fondo
 3 – NUE – Master’s 50+ – Grizzly 100 Race            12 – 50k MTB Gran Fondo
 4 – NUE – Single Speed – Grizzly 100 Race            13 – 30k MTB Gran Fondo
 5 – NUE – Men’s Open – Grizzly 75 Race            14 – 20k MTB Gran Fondo
 6 – NUE – Women’s Open – Grizzly 75 Race            15 – 100k MTB Men’s Gravel Grinder
 7 – NUE – Master’s 50+ – Grizzly 75 Race               16 – 100k MTB Women’s Gravel Grinder
 8 – NUE – Single Speed – Grizzly 75 Race                17 – 75k MTB Men’s Gravel Grinder
 18 – 75k MTB Women’s Gravel Grinder

MAKE NON-REFUNDABLE PAYMENT TO: TEAM BIG BEAR
P.O. BOX 391, FAWNSKIN, CA 92333 ~ VOICE (909) 633-6729
CREDIT CARD PAYMENT METHOD: VISA _____ Master Card _______ AMEX _______
Card #: ________________________________________________________________________
Expiration Date: ___________________________ Name of Issuing Bank: _______________________________________________
Signature: ____________________________________________________________________________________________________

 

 

 

 

 

 

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