Blossom ORRC & SNATR 2024 Entry Form

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This is the entry form for the 2024 Blossom ORRC & SNATR
Please fill out the information below. We've simplified the form so we only capture names and addresses. We are not asking for drivers licence, ownership or insurance information but you will need to show you have this at the start of the rally.
The entry fee is $20.00 for just the SNATR or $50.00 for the ORRC You can send an Interac transfer to martin.loveridge.rally@gmail.com or use a credit card via the MotorSportReg form.

Our annual SpeedWaiver is at https://kwrc.speedwaiver.com/loqph, everybody in the car needs to complete a waiver on a smartphone.

Class? *

SNATR Beginner $20

SNATR Experienced $20

ORRC Novice

ORRC Expert

Driver name: *

Driver street address

Driver city & province *

Driver postal code

Driver Club

Driver email address *

Driver Self Declaration *

My drivers licence is valid and not expired

The vehicle registration is valid and not expired

The vehicle is insured and the insurance has not expired

If the owner of the car is not a team member I have a permission letter to use it.

Required

Navigator name *

Navigator street address

Navigator city & province

Navigator postal code

Navigator Club

Navigator email address. *

Driver Emergency Contact Name

Driver Emergency Contact Phone

Navigator Emergency Contact Name

Navigator Emergency Contact Phone

The vehicle is owned by:

Vehicle owner (if not Driver or Navigator)

Vehicle year

Vehicle make

Vehicle model & colour

Vehicle Province/State of registration

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