Club Round 4 - Entry - Karting South Africa

Driver Information

First Name *

Last Name *

Date Of Birth *

Racing Number *

MSA License Number *

Please upload a copy of your MSA License *

No file chosen

Class *

Chassis *

Club *

Do you have your own transponder? *

Transponder Number *

Contact Information

For competitors under the age of 18 this must be a parent, guardian or entrant who will be present at the event.

First Name *

Last Name *

Contact Number *

Email Address *

Physical Address *

Entry Fee Summary

Entry Fee

- including control fuel and transponder rental

Transponder Hire

Total

Declaration/undertaking by submitting this entry form:

I hereby undertake to adhere to all the relevant MSA rules, which will include the Sporting and technical rules amongst others.
I have read and understood GCR22 and acknowledge that by submitting this entry form, I am bound to adhere to this and all other GCRs
I, being the lawful parent/guardian of the above mentioned competitor, do hereby grant permission for him/her to drive in the above-mentioned event.
I hereby give permission for Rand Kart Club to use photographs, name and results of the competitor on social media and any other publishing.

Rand Kart Club respect your right to privacy and therefore aim to ensure that we comply with the legal requirement of the POPI Act which regulates the manner in which we collect, process, store, share and destroy any personal information which you have provided to us.

I agree

Please do not fill in this field.

Driver Information

First Name *

Last Name *

Date Of Birth *

Racing Number *

MSA License Number *

Please upload a copy of your MSA License *

No file chosen

Class *

Chassis *

Club *

Do you have your own transponder? *

Transponder Number *

Contact Information

For competitors under the age of 18 this must be a parent, guardian or entrant who will be present at the event.

First Name *

Last Name *

Contact Number *

Email Address *

Physical Address *

Entry Fee Summary

Entry Fee

- including control fuel and transponder rental

Transponder Hire

Total

Declaration/undertaking by submitting this entry form:

I hereby undertake to adhere to all the relevant MSA rules, which will include the Sporting and technical rules amongst others.
I have read and understood GCR22 and acknowledge that by submitting this entry form, I am bound to adhere to this and all other GCRs
I, being the lawful parent/guardian of the above mentioned competitor, do hereby grant permission for him/her to drive in the above-mentioned event.
I hereby give permission for Rand Kart Club to use photographs, name and results of the competitor on social media and any other publishing.

I agree

Please do not fill in this field. Please do not fill in this field.

Club Round 4 – Entry FORM

Driver Information

Contact Information

Entry Fee Summary

Entry Fee

Entry Fee

- including control fuel and transponder rental

Transponder Hire

Total

Driver Information

Contact Information

Entry Fee Summary

Entry Fee

Entry Fee

- including control fuel and transponder rental

Transponder Hire

Total