Open Day Series R4 – Sunday 8 November



Competitor First Name * 

Enter FIRST name of the driver
E.g. Jamie

Competitor Last Name * 

Enter LAST name of the driver
E.g. Whincup

Age Group * 

Enter your age group

Class * 

Enter the class you are entering

Car Club

Enter the name of the Car Club you are a member of
(type NA if none)

Car Club Member No.

Enter your Car Club membership number

Car Club Expiry Date

Enter your membership expiry date
(use format dd/mm/yyyy)

MSNZ Licence No.

Enter your Motorsport NZ licence number
(type NA if none)

MSNZ Licence Expiry Date

Enter your licence expiry date
(exactly as written on your card)

Civil Drivers Licence No.

Enter your Civil (NZTA) drivers licence number (disqualified drivers are not able to enter event)

Drivers Licence Expiry Date

Enter your driver licence expiry date (exactly as written on your card)

Vehicle Number

Enter your preferred competition number (if desired)

Vehicle Make * 

Enter your vehicle make
E.g. Ford

Vehicle Model * 

Enter your vehicle model type
E.g. Escort

Number Plate * 

For road registered vehicles provide registration number. For non-road registered type NA.

Vehicle Colour * 

Enter your vehicle primary (main) colour

Vehicle Engine CC Rating * 

Enter your vehicle engine cubic capacity

Vehicle Log Book No. * 

Enter your vehicle log book number (type NA if none)

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?

Supplementary Regs * 

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

SKU: TRK-4 Category:


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

Additional information

MCC Member

Member, Non-Member