Georgia NBL 2011 Team Commitment Form

Valid only if signed by Rider, Parent (if under 18) and Team Manager

I understand by signing this team commitment form, I am making a commitment to be a member

of the ____________________________________________ Team NBL/ Trophy team .

(please circle appropriate team)

I understand that if I decide to leave this team or I am dropped by this team, I cannot be used on any other

Georgia NBL team or trophy team for the remainder of the 2011 season.

Rider’s Name: ________________________________________________________

Birthday: _____________________________________ Age: ________________

Proficiency: ___________________________________

Rider’s Signature: _______________________________________________ Date: _____________

Parent’s Signature: ______________________________________________ Date: ______________

Team Manager’s Signature: _______________________________________ Date: ______________

This form MUST BE returned to the State Commissioner WITH the updated team roster.