2008 DIRTBIKEMIKE

   MOTOCROSS CAMP REGISTRATION

RIDER NAME______________________________________________AGE________

ADDRESS_______________________CITY______________STATE______ZIP_____

TELEPHONE #_______________CONTACT NAME__________________________

RIDER SKILL LEVEL________________ BIKE BRAND & SIZE_______________

T-SHIRT SIZE______  EMAIL ADDRESS___________________________________

SELECT YOUR CAMP

JUNE 10-12__xxxx__ 3 DAY 50/65/85s ONLY

JUNE 17-19_xxxx__ 3 DAY 50/65/85s ONLY     

JUNE 24-27_xxxx__4 DAY ANY BIKE SIZE        

JULY 8-11_______4 DAY ANY BIKE SIZE     

JULY 15-18_FULL_4 DAY ANY BIKE SIZE

Riders arrive the night before camp starts and leave the last afternoon.    

    PRINT THIS FORM AND ENCLOSE A $100 NON-REFUNDABLE DEPOSIT TO

 SECURE YOUR CAMP DATE.  THE BALANCE WILL BE DUE UPON YOUR

 ARRIVAL AT CAMP.    SOME CAMP DATES ARE MORE POPULAR AND

 WILL FILL UP EARLY.   AFTER YOUR DEPOSIT  IS RECEIVED, WE WILL

 SEND YOU A PACKET  WITH ALL THE  INFORMATION YOU'LL NEED TO

 ATTEND OUR CAMP.   THE PACKETS WILL BE SENT AFTER MAY 15. 

 THANKS FOR SELECTING DIRTBIKEMIKE MOTOCROSS CAMPS. 

 WE LOOK FORWARD TO SEEING YOU THIS SUMMER.

MIKE AND PAM LAMBERT

DIRTBIKEMIKE LLC

make checks payable to:    PAM LAMBERT

                                          92 DEARMAN RD.

                                          AMITY, ARKANSAS 71921

REVISED 05/05/08