LAS VEGAS
TWOSTROKE PROAM
NATIONAL
BROUGHT TO YOU BY
2011
FIRST NAME
M.I.
ADDRESS
LAST NAME
CITY
STATE
ZIP
SPONSORS
D.O.B. (MM/DD/YY)
PARENT/LEGAL GUARDIAN (IF MINOR)
PHONE (
EMAIL
MAKE
CLASS
)
CC
RACE FEES ARE $65 PER CLASS PRE ENTRY AND $85 PER CLASS AT THE GATE.
PRE ENTRY FEES MUST BE MAILED IN BY MONEY ORDER TO:
P.O. BOX 50961
HENDERSON, NV  89002
NO LATER THAN APRIL 1, 2011
A FORM MUST BE FILLED OUT AND SUBMITTED FOR EACH CLASS ENTRY.
125 PRO
125 NON PRO
OPEN PRO
OPEN NON PRO
VINTAGE PRE '97
VINTAGE PRE '87
VINTAGE PRE '77
HONDA
HUSQVARNA
KAWASAKI
KTM
MAICO
SUZUKI
YAMAHA
OTHER - SPECIFY: