National Motorsport Association
2010 NMA Competition License Application
License Fee: $40.00 Valid Jan 1 thru Dec 31, 2010
Step 1
Please complete the license application below
NMA Region   Parent/Guardian  
First Name   Last Name  
Address  
City   State   Zip  
Phone   EMail
Birth Date Age Gender  
How Long Racing? Years Months
Application Type   Is your address the same as last year?  
Please indicate classes you are participating in this year:
50cc Pee Wee Requested Nbr    
65cc Jr. Cycle
Requested Nbr    
85cc/150cc 4 Stroke
Minicycle
Age Group      


 

Requested Nbr
 
Women/Girls

Requested Nbr    
Motorcycle Classes
 
 
 
 
 
 
Requested Numbers in order of Preference  
           
Motorcycle racing Level  
Classes competed in last year with NMA and/or Other association

By submitting this application
I ACKNOWLEDGE I FULLY UNDERSTAND THERE IS NO RIDER MEDICAL INSURANCE PROVIDED.
I UNDERSTAND MOTORCYCLE RACING IS DANGEROUS.