Verify Tandem Pair
Please verify the information below:
<form action="https://khmtt.com/cgi-bin/khmtt_OnLineRegTandem.pl" method="post" name="Validate"><!-- [et_pb_line_break_holder] --><table width="0" border="0"><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="col"> </th><!-- [et_pb_line_break_holder] --> <th scope="col">Primary</th><!-- [et_pb_line_break_holder] --> <th scope="col">Secondary</th><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">Name:</th><!-- [et_pb_line_break_holder] --> <td>PNAME</td><!-- [et_pb_line_break_holder] --> <td>SNAME</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">Bib Number:</th><!-- [et_pb_line_break_holder] --> <td colspan="2">BBBB</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">Start Time:</th><!-- [et_pb_line_break_holder] --> <td colspan="2">SSSS</td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --><tr><!-- [et_pb_line_break_holder] --> <td colspan="3"><!-- [et_pb_line_break_holder] --><input id="RiderName" name="RiderName" type="hidden" value="PNAME"><!-- [et_pb_line_break_holder] --><input id="RiderName2" name="RiderName2" type="hidden" value="SNAME"><!-- [et_pb_line_break_holder] --> <input id="RiderUSAC" name="RiderUSAC" type="hidden" value="LLLL"><!-- [et_pb_line_break_holder] --><input id="RiderUSAC2" name="RiderUSAC2" type="hidden" value="LLL2"><!-- [et_pb_line_break_holder] --><input id="RiderStartTime" name="RiderStartTime" type="hidden" value="SSSS"><!-- [et_pb_line_break_holder] --><input id="RiderBib" name="RiderBib" type="hidden" value="BBBB"><!-- [et_pb_line_break_holder] --><input id="TranID" name="TranID" type="hidden" value="TRANID"><!-- [et_pb_line_break_holder] --><input id="Header" name="Header" type="hidden" value="HEADER"><!-- [et_pb_line_break_holder] --><input id="Desc" name="Desc" type="hidden" value="DESC"><!-- [et_pb_line_break_holder] --><input id="Amount" name="Amount" type="hidden" value="AMOUNT"><!-- [et_pb_line_break_holder] --><input id="Date" name="Date" type="hidden" value="DATE"><!-- [et_pb_line_break_holder] --><input id="AddOn" name="AddOn" type="hidden" value="ADDON"><!-- [et_pb_line_break_holder] --><input id="NoRaces" name="NoRaces" type="hidden" value="NORACES"><!-- [et_pb_line_break_holder] --></td><!-- [et_pb_line_break_holder] --></tr><!-- [et_pb_line_break_holder] --> <tr><!-- [et_pb_line_break_holder] --> <th scope="row">If the information on this form is correct, please click on Process</th><!-- [et_pb_line_break_holder] --> <td><input id="Submit" class="et_pb_contact_submit et_pb_button" name="Submit" type="submit" value="Process" /></td><!-- [et_pb_line_break_holder] --> <td> </td><!-- [et_pb_line_break_holder] --> </tr><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --></form>
Please Note: Both riders are registered for the KHMTT and both must sign a USAC waiver before the bib will be issued. Questions or changes must be submitted by the primary rider.