Cone Work – Backtrack Drifting, Saturday 11th May

$180.00 – $200.00

Competitor First Name *

Enter FIRST name of the driver
E.g. Mike

Competitor Last Name *

Enter LAST name of the driver
E.g. Whiddett

Enter your age group

Enter your date of birth
(use format dd/mm/yyyy)

Experience Level *

Choose your group based on experience

Car Club Affiliation. If no put Nil *

Enter the name of the Car Club you are a member of. If no put NIL

Car Club Member No. If no put Nil *

Enter your Car Club membership number. If no put NIL

Car Club Expiry Date. If no put Nil *

Enter your membership expiry date. If no put NIL
(use format dd/mm/yyyy)

Vehicle Number *

Enter your preferred competition number

Vehicle Make *

Enter your vehicle make
E.g. Ford

Vehicle Model *

Enter your vehicle model type
E.g. Escort

Vehicle Colour *

Enter your vehicle primary (main) colour

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 *If none put NIL
For road cars (RS Cup) enter number plate

Audit Requirement *

For this event, is your vehicle due to be scrutineered?
*Log booked cars every third event OR if six months since last event
-WOF/REG road cars, EVERY event

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?

Drivers Licence Disqualified *

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)

Indemnity & Consent *

I agree to the MSNZ indemnity and to abide by the terms and conditions as set out for this event, available from the event page of our website

SKU: Backtrack-Drift Category:

Description

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

Note!  Spaces are limited to 40 entries per event, payment secures your spot.

Additional information

MCC Member

Member, Non-Member