PRO WATERCROSS INTERNATIONAL CUP ENTRY FORM

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Important: Enter a valid e-mail address. Receipts will be sent to this address.
E-Mail:*
First Name:*
Last Name:*
Street Address:*
City:*
State:*
Name of Province or Region if not listed above
Zip Code or Canadian Postal Code*
Country:
Phone:*
Date of Birth:*
If you are having trouble with the ``date of birth`` field; select the calendar date desired and then manually change the year of birth...
Click here if the competitor under the age of 18?
Parent #1 Name*
Parental Contact Phone Number*
Parent #2 Name
Parental Contact #2 Phone Number
Upload Minor`s Birth Cert.
PLEASE NOTE: Anyone under the age of 18 years old must provide a copy of their birth certificate at registration/check-in or email to info@prowatercross.com Anyone under the age of 18 years old must have a parent or legal guardian present at the time of registration/check-in to sign minor release waiver. This cannot be a friend or other family member, it must be the parent or legal guardian.
Emergency Contact Name*
Emergency Contact Phone Number*
PRO WATERCROSS MEMBERSHIP: Purchase membership now, if you are not already a member.
Are you a Pro Watercross Member?* Yes No
Pro Watercross membership is required to compete at all Pro Watercross events: PURCHASE MEMBERSHIP NOW IF YOU ARE NOT ALREADY A MEMBER.
ANNUAL MEMBERSHIP

2023 Pro Watercross Membership - $65: This membership option provides access to all the benefits of the 2023 season. Your membership will be valid until December 31, 2023. Competitor’s joining now will receive a stylish Liqui-Moly Pro Watercross hat to sport during the International Cup. 2023-2024 Pro Watercross Membership - $95: For those looking to secure an extended membership and reap the rewards for two seasons, the 2023-2024 Pro Watercross Membership is the perfect choice. This membership will grant you access to the remaining 2023 season but also to the 2024 season, valid through December 31, 2024. 2023-2024 members will receive the exclusive 2024 Pro Watercross membership t-shirt, set to ship in April 2024.
2024 T-shirt Size*
T-shirts will only be shipped within the continental USA

Read the Release and Waiver for Pro Watercross Events
YES, I have read and understand the Release and Waiver for Pro Watercross Events
PLEASE NOTE: Expert & Pro-Am competitors will be required to fill out a W-9 in order to receive contingency payout.
PLEASE NOTE: FOREIGN (non-US Citizens) Expert & Pro-Am competitors will be required to fill out a W-8BEN IRS form in order to receive contingency payout.
Sponsor Information:
Sponsor Information 2023 Sponsors No Sponsors
List sponsors:
PRO WATERCROSS INTERNATIONAL CUP CLASSES \| SEPTEMBER 28 - OCTOBER 1 \| LAKE HAVASU
Choose 1st class
Select 1st Class:*

Manufacturer:*
Boat race #:*
Choose a 2nd class
Select a 2nd Class:

Manufacturer:
Boat race #:
Choose a 3rd class
Select a 3rd Class:

Manufacturer:
Boat race #:
Choose a 4th class
Select a 4th Class:

Manufacturer:
Boat race #:
Choose a 5th class
Select a 5th Class:

Manufacturer:
Boat race #:
Let us know what your where you are staying:
Accommodations*
Total Entry Fees

Grounds Fee: ($50.00):

TOTAL ENTRY FEES FOR THE 2023 PRO WATERCROSS INTERNATIONAL CUP \| SEPT 28-OCT 1
Grand Total:

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