TEAMWBR SPONSORSHIP APPLICATION

RIDERS WANTED

RIDER TO FILL OUT:

NAME: ___________________________________ NICKNAME: "________________”

AGE: __________

ADDRESS: _____________________________________CITY:____________________________

STATE: __________

POST CODE: _____________ PHONE# :( )__________________________

E-MAIL:_________________________@_____________________

BMXA#_____________________

CA#_____________________ Club:____________________________

CLASSIFICATION: Beginner Novice Intermediate Expert Pro

Bike size used: (top tube length)__________________

YEARS RACING: ______ TITLES & ACCOMPLISHMENTS:

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

BIRTHDATE:____/_____/____ SCHOOL Grade: ______ [Must retain a C or better]

JOB:_______________________

I verify that all of the above information is true.

I promise that I will represent TeamWBR and associated co

sponsors in the best possible way; on and off the track, at all times.

RIDER’S SIGNATURE: _______________________________

(If under 18) PARENT’S SIGNATURE: _______________________________

SEND COMPLETED APPLICATION FORM TO
Wade@WadeBootes.com