Home  Rider Radar  Team Info  Testimonials  Schoolz  Facilities  Clothing  About Manga 
Registration Label 
MANGA RACING ACADEMY APPLICATION FORM  
RIDER INFO  
First:
Last:
Age
Email Address:
Phone:
Street Address:
City:
Zip Code:
Racer: Yes   No
Bike Size:
T-shirt Size:
Class:
PARENTS INFORMATION (if rider is under 18 years of age)
Parent Name:
Daytime Phone #:
Email:
RIDER GOAL INFO
   Highest Priority needs:
  
   Biggest Barriers:
  
    Does the rider practice?  How Much? What are the practiced designed to do?
   
   If the Rider Races, where they typically finish:  
   
   Express how much desire your rider has: 
   
   Where would you rate your child in rising ability: 
   
   
        

 
2010 SCHEDULE

August 21st-22nd

Dutch Sport Park , Bloomingdale, MI

 
Please only submit once.  If successful you will be taken back to the main page.  Thanks
 
269-689-9072
gabi@mangaracing.com