Important: Enter a valid e-mail address. Receipts will be sent to this address. |
E-Mail:*
|
First Name:*
|
Last Name:*
|
Street Address:*
|
City:*
|
State:*
|
Name of Province or Region if not listed above
|
Zip Code or Canadian Postal Code*
|
Country:
|
Phone:*
|
Date of Birth:*  |
If you are having trouble with the ``date of birth`` field; select the calendar date desired and then manually change the year of birth... |
Emergency Contact*
|
Emergency Contact Phone Number*
|
PRO WATERCROSS MEMBERSHIP: Purchase membership now, if you are not already a member. |
Are you a Pro Watercross Member?*
Yes No |
Pro Watercross membership is required to compete at all Pro Watercross events: PURCHASE MEMBERSHIP NOW IF YOU ARE NOT ALREADY A MEMBER. |
Member T-shirt Size
|
| |
|
|
YES, I have read and understand the Release and Waiver for Pro Watercross Events |
|
|
|
Sponsor Information: |
Sponsor Information
2023 Sponsors No Sponsors |
List sponsors:
|
PRO WATERCROSS INTERNATIONAL CUP CLASSES | SEPTEMBER 28 - OCTOBER 1 | LAKE HAVASU |
Choose 1st class |
Select 1st Class:*
|
| |
Manufacturer:*
|
Boat race #:*
|
Choose a 2nd class |
Select a 2nd Class:
|
| |
Manufacturer:
|
Boat race #:
|
Choose a 3rd class |
Select a 3rd Class:
|
| |
Manufacturer:
|
Boat race #:
|
Choose a 4th class |
Select a 4th Class:
|
| |
Manufacturer:
|
Boat race #:
|
Choose a 5th class |
Select a 5th Class:
|
| |
Manufacturer:
|
Boat race #:
|
Let us know what your where you are staying: |
Accommodations*
|
Total Entry Fees
|
|
Grounds Fee: ($50.00):
|
|
TOTAL ENTRY FEES FOR THE 2023 PRO WATERCROSS INTERNATIONAL CUP | SEPT 28-OCT 1 |
Grand Total:
|
|
Save Form |