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BJEC 2008 Membership Application

Please use proper capitalization! Thank you!

New Member?

If old member, BJEC#

(if you don't remember your old number, leave blank)

AMA#

(required for AMA sanctioned events)

First Name:

Last Name:

Address:

City:

State:

(two letter abbreviation)

Zip:

Phone:

(no dashes or spaces needed)

Email:

Password:

(for the discussion board and web access to your contact info)

Date of Birth:

Bike Year:

(use 4 digits please)

Bike Brand:

Other?

Bike Size:

Bike Model:

Please select the class you will ride from the options below:

Long Course
AA
(85th-100th percentile)
A
(50th-84th percentile)
A Senior
(Age 40 and older, 50th-84th percentile)
B
(0-49th percentile)
B Senior
(Age 40 and older, 0-49th percentile)

Short Course
A Masters
(Age 40 and older, 80th-100th percentile)
B Masters
(Age 40 and older, 55th-79th percentile)
Super Senior
(Age 50 and older)
Super 60 Senior
(Age 60 and older)
C
(Novice, 0-89th percentile)
C Veteran
(Age 30 and older, 0-89th percentile)
C 40+
(Age 40 and older, 0-54th percentile)
C 45+
(Age 45 and older, 0-54th percentile)
Junior Expert
(Ages 16 and under, unlimited bike size)

Extra Short Course
Women Ext Sht
(Any age, any bike)
Junior Novice
(Age 16 and under, 16" to 19" wheel size, any cc)
Youth
(Age 12 and Under)