Event Name or Logo Held under the International Sporting Code of the FIA and the National Competition Rules of CAMS ENTRANT DRIVER CO - DRIVER If Entrant is Driver leave blank Surname Given Name Yes No (Under 18 Consent must   Yes No (Under 18 Consent must Yes No 18 Consent must be     Over 18? be signed) be signed) signed) Address Post Code Post Code Post Code Car Club Mobile Phone E-Mail Address Civil Drivers Details not required - must be shown at Details not required - must be shown at Details not required - must be shown at Documentation Documentation Documentation Licence No. CAMS Licence No. Registered RSS RSS for... Emergency Contact Name & Number Description of Car Make Model Year Colour Registration No. Engine Capacity (Swept RSS Class Volume) C1 2WD 0-1700 C2 2WD 1701-2100 _________________cc C3 2WD 2101 & above C4 All 4WD vehicles – Payment Event RSS (at least 1 crew member registered) $ xxx.00 S1 Rallysprint $zzz.00 RSS (neither crew member registered) $ yyy.00 other (delete if not required) $ Cheque * Direct Deposit (refer details in Supp Regs, 2.3) Cash * Cheques need to be made payable to: XXXXXX If you DO NOT want your contact details to the RallyNSW database, please tick here Disclaimer Motor Sport Activities are inherently dangerous recreational activities and there is significant risk of injury, disability or death. If you do not wish to be exposed to such risks, then you should not participate in the Motor Sport Activities. I acknowledge that: the risks associated with attending or participating in Motor Sport Activities include but are NOT LIMITED to the risk that I may suffer harm as a result of:
Event Name or Logo Held under the International Sporting Code of the FIA and the National Competition Rules of CAMS ENTRANT If Entrant is Driver leave blank DRIVER CO - DRIVER Surname Given Name Over 18?  Yes  No (Under 18 Consent must be signed)  Yes  No (Under 18 Consent must be signed)  Yes  No 18 Consent must be signed) Address Post Code Post Code Post Code Car Club Mobile Phone E-Mail Address Civil Drivers Licence No. Details not required - must be shown at Documentation Details not required - must be shown at Documentation Details not required - must be shown at Documentation CAMS Licence No. Registered for... RSS RSS Emergency Contact Name & Number Description of Car Make Model Year Colour Registration No. Engine Capacity (Swept Volume) _________________cc RSS Class C1 2WD 0-1700 C2 2WD 1701-2100 C3 – 2WD 2101 & above C4 All 4WD vehicles Payment Event RSS (at least 1 crew member registered) $ xxx.00 S1 Rallysprint $zzz.00 RSS (neither crew member registered) $ yyy.00 other (delete if not required) $ Cheque * Direct Deposit (refer details in Supp Regs, 2.3) Cash * Cheques need to be made payable to: XXXXXX If you DO NOT want your contact details to the RallyNSW database, please tick here Disclaimer Motor Sport Activities are inherently dangerous recreational activities and there is significant risk of injury, disability or death. If you do not wish to be exposed to such risks, then you should not participate in the Motor Sport Activities. I acknowledge that: the risks associated with attending or participating in Motor Sport Activities include but are NOT LIMITED to the risk that I may suffer harm as a result of:
2018-RSS-Entry-Form-Template.docx