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First Name:
Middle Name:
Last Name:
Address:
City:
State:
Zip:

Home Phone:
Cell Phone:
Work Phone:

E-mail (Must be Valid)
Password:
Birth Date: (Ex.  06/09/1970)
Marital Status:
Height:
Weight:
T-Shirt Size:

Employer:
Job Title:

Rider Type:
Previously Applied:
Racing Class(es):

Bike Brand One: - (Honda, Yamaha, etc.)
Bike Model & Size One:

(RM, YZ, CR, KX, etc.)

 

(80, 125, 250, etc.)

Bike Year One: - (2003, 2002, etc.)

Bike Brand Two: - (Honda, Yamaha, etc.)
Bike Model & Size Two:

(RM, YZ, CR, KX, etc.)

 

(80, 125, 250, etc.)

Bike Year Two : - (2003, 2002, etc.)

Riding Number:
Years of Riding Experience:
Length of riding season:
How many times do you practice per week?
How many times do you race per month?
Current Sponsors & Benefits:
Previous Accomplishments:
Education:
Outlook Goals:
Future Plans:

Why Me?:
References:

How Did You Hear About VRM?

 

Team VRM Policy: 

If accepted to Team VRM a rider must represent VRM, our associates, sponsors, other Team VRM members in the most professional manner possible. Any Individual not representing VRM or acting in an unprofessional manner may have their sponsorship terminated by VRM immediately

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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