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Coal Miners Classic Criterium

6/12/2011

Online registration closes on 6/8/2011 11:59:00 PM.
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Registration Fee: $30.00
License *
One day license fee +$10.00 (per day)
One day ACA membership fee +$0.00 (per day)
Rider Name *
Category *
Rider Age *
Team Name
Emergency Contact *
Emergency Contact Phone *
Parent or Guardian
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