2005
Tour de Dirt~PayDirt Program
Racers Name:
_______________________________________ e-mail __________
Address:
___________________________________________ Phone Number: __________
NORBA License Number:
______________________
Team Name: ____________________________
Category: Beginner _____ Sport _____ Expert _____
Class: Junior _____ Senior _____ Master _____
Location of Trail worked on:
______________________________ Date: ___________
(Has to be one of the 2005
TdD series trails)
Hours worked: ___________ to:
___________.
(Max. of 4 hours per day)
Signature of the person in charge of the workday: ______________________ E-mail _______
(or Phone Number)
Make a copy of this and send
original to:
Robert Farris
Tour de Dirt
2517 So. Central Ave.
Oklahoma City, OK 73129