Small Car Cup Grp A. Round

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Small Car Cup Grp A. Round - 6

Event Date: Sunday 25th September
Venue: Pheasant Wood Circuit, Prairie Oak Rd Marulan NSW
Entry Fee: Driver - $300.00
2nd Driver $150.00

Entries Close: Monday 19th September 2022 (To midnight)
Late Entries: Entries paid or after midnight on Monday will be subject to a late entry fee $50.00

PAYMENTS TO: Jonathan Mansell
Bank Details: BSB - 802 - 388
Account Number: 100062770 * Please identify your payment with SCC and your surname please

Email *

Drivers Name *

Address *

Date of Birth *

Race Licence: Type & Number *

Emergency Contact. (Name and Phone number) *

Team Name

Small Car Cup race number *

Car Make & Model *

Race Class *

Class A

Class B

Class C

Is This a double entered car? If yes, please get your Co-driver to fill out an entry form and pay the 2nd driver entry fee. *

Yes

Are you the car owner *

Yes

If No, please supply name and phone number of the car owner

I am *

The main driver $300 entry

The second driver $150 entry

Entry fee paid to the bank details above. Payment must be made at time of submitting entry. *

Yes

I understand that no refund is available if I cancel my entry or if I fail to compete at the event. Please see the supplementary regulations for further information.

Yes

DISCLAIMER - By agreeing, I/We understand that motorsport is dangerous and injuries and/or death may occur. I release Small Car Cup and owners as well as any officials and other persons involved or associated in running this event from any liability of any type for any injuries or loss of life that may occur due to my competing in this event. By disagreeing, you will not be able to compete in our events.

I agree

I disagree

I agree that I have read and understand the driving standards for Small Car Cup and I will drive in accordance with those standards. I understand that f I do not drive within the driving standards that I may be penalised or disqualified from the event.
(DO NOT ENTER YES IF YOU HAVE NOT FULLY READ THE DRIVING STANDARDS)

Yes

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