Rally registration - Wisconsin BMW Motorcycle Club

Rally Registration Page

Riders Name *

First

Last

Passenger's Name *

First

Last

How are you planning to arrive? *

Club affiliation? *

Address *

City *

State *

Zip code *

Email *

The email used here will be matched against the PayPal email used for payment to verify payment has been completed. If payment is not completed, this registration is not valid!

Phone Number

optional

Is medical needs camping required (power hookups) *

This is for medical needs ONLY (CPAP, Oxygen Concentrators, etc)

Number of adult registrations **OVER 21** *

Ages 16 and over

Number of adult registrations ***UNDER 21** *

Ages 16 and over

Number of children 6-15 *

Children ages 6-15 **Children under 6, please leave blank, but please fill in names below

Child's Name 1 *

First

Last

Child's Name 2 *

First

Last

Child's Name 3 *

First

Last

Child's Name 4 *

First

Last

Total Payment

$0.00