Date of Birth: _______/_______/________
(where applicable: based on age as of 12/31/07)
Select a Race Class from the Following List:
All age classifications are based on racers age on Dec. 31, 2007
FEMALE CLASSES:
___ Beginner
___ High School (15-18)
___ Sport
___ Vet (35+)
___ Pro/Expert
MALE CLASSES:
___ Beginner
___ Junior (14-Under)
___ High School (15-18)
___ Sport (19-34)
___ Sport Vet (35+)
___ Sport Masters (45+)
___ Pro/Expert Open
___ Expert Junior (18-Under)
___ Expert Vet (35+)
___ Expert Masters (45+)
___ Clydesdale (200lbs+)
___ Single Speed Open
Select a Membership Option:
$20 Junior-class Annual Member
$25 Regular Annual Member
$60 Family (Husband, Wife & Children)
$120 Business Member
Make check payable to WVMBA and mail this application form to:
WVMBA / P.O. Box 660 / Davis, WV 26260
