Winter Series Test Day – Round 4 Final

$100.00 – $120.00

Manawatu Car Club Test Day

Discount for MCC Members

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 *

Enter your age group

Date Of Birth *

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

Competitor First Name *

Enter FIRST name of the driver
E.g. Scott

Competitor Last Name *

Enter LAST name of the driver
E.g. Dixon

Civil Drivers Licence No. If no put Nil *

Enter your NZTA civil drivers licence number (disqualified drivers are not able to enter event) If no put Nil

Drivers Licence Expiry Date. If no put Nil *

Enter your driver licence expiry date. If no put Nil

Experience Level *

Give us an idea of your experience on track

Make *

Model *

Testing Group *

Choose the test group for your class

Car Club Affiliation *

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

Car Club Member No. *

Enter your Car Club membership number. If no put NIL

Car Club Expiry Date *

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

MSNZ Licence No. *

Enter your Motorsport NZ licence number. If no licence put Nil

MSNZ Licence Expiry Date *

Enter your licence expiry date. If no licence put Nil

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

First Time Driver *

Have you only competed in three or fewer race events?

New Competitor To Manfeild *

Are you new to Manfeild and have not driven on the track before?

Non-MSNZ Competition Licence *

Are you a foreign participant using a non-MSNZ competition licence?

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: Winter Series Test-1-1 Categories: , ,

Description

Winter Series ROUND 4 FINAL Test Day

Saturday 7th September

 

Additional information

MCC Member

Member, Non-Member