Join AHDRA

Name *

First

Last

Address

Address Line 1

City

State

Zip Code

Email *

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Team Name

Full Name of Rider *

Rider name if different than above name

Birth Date *

MM/DD/YYYY (Example: 01/01/2000)

T-Shirt Size *

Current Competition Number

Current Bike number

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AMA Membership Number

American Motorcyclist Association Member Number

AMA Membership Expiration Date

MM/YYYY (Example: 01/2022)

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Competition Number Requested (First Choice)

If you are a new rider without a current AHDRA Bike number

Competition Number Requested (Second Choice)

If you are a new rider without a current AHDRA Bike number

Competition Number Requested (Third Choice)

If you are a new rider without a current AHDRA Bike number

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All Nitro Classes: Name of Rider (Includes 4 Crew Cards: $225 (must have physical form on file))

Pro: Name of Rider (Includes 2 Crew Cards: $125 (Any class 9.70 or faster))

Crew: Name(s) $40 each

Up to 5 Crew Names may be listed.

Sportsman: Name of Rider $75

Associate: Name(s) $25 each

Up to 5 Associate Members may be listed

Name on Payment Method if different from Rider

First

Last

Please add name on payment method if it differs from the rider.

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PARTICIPANT CONDUCT (Printed full Name Acknowledges you have read below and clearly understand our Participant Conduct Policy. Rider is also responsible for all crew and guest conduct as listed below) *

First

Middle

Last

Participants on ALL social media accounts and at every AHDRA events are required to conduct themselves in a professional and non-disruptive manner. Any participant who, in the sole judgment of AHDRA officials commits any of the following: *Verbally or physically threatens another participant *Engages in unsportsmanlike conduct *Engages in Conduct detrimental to the sport, including but not limited to verbally abusive or inappropriate comments on all social media outlets or event grounds *Creates a situation that is unsafe or is out of order Will be asked to leave or be removed from the event with NO refund of entry and, will be banned from all social media outlets. Any continued disruptive behavior or behavior that is deemed severe by any AHDRA official will result in a life-time ban of all AHDRA events in the future.

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Checkbox - Select Item(s) to Purchase

Total

$ 0.00

2022 AHDRA Membership

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