Pararorangi Road Rallysprint – Saturday 20 March

$120.00

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Competitor First Name * 

Enter FIRST name of the driver
E.g. Scott

Competitor Last Name * 

Enter LAST name of the driver
E.g. Dixon

Age Group * 

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Date Of Birth * 

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(use format dd/mm/yyyy)

Car Club * 

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Car Club Member No. * 

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Car Club Expiry Date * 

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(use format dd/mm/yyyy)

MSNZ Licence No.

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MSNZ Licence Expiry Date

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(as written on your card)

Vehicle Number * 

Enter your preferred competition number

Vehicle Make * 

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E.g. Ford

Vehicle Model * 

Enter your vehicle model type
E.g. Escort

Vehicle Colour * 

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Vehicle Engine CC Rating * 

Enter your vehicle engine cubic capacity

Vehicle Induction * 

Enter your vehicle induction type

Vehicle Log Book No. * 

Enter your vehicle log book number

Emergency Contact Name * 

Enter the name of your contact should there be an emergency

Emergency Contact Relationship * 

What is their relationship to you?

Emergency Contact Phone * 

What is their contact phone number?

Central Region Series Competitor * 

Are you campaigning the Central Region Sprint Series?

Drivers Licence Validity * 

Currently is your NZ civil drivers licence disqualified?

Supplementary Regs * 

I understand and agree to abide by the event supplementary regulations (found on the event page)

SKU: CRS-R1 Category:

Description

Purchase an entry to this event as described.
Discount for MCC members.

Note:  Competitors campaigning the Central Region Sprint Series have priority over casual entries.

Additional information

Class - Central Region Series

Class A 2WD (0-1400cc), Class B 2WD (1401-1750cc), Class C 2WD (1751cc and over), Class D 4WD (Post 1995), Class E 4WD (Pre 1996)