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2015 JUNIOR PERPETUAL CHAMPIONSHIP
NOMINATION FORM – Sunday 12th April 2015
NAME
CLUB
ADDRESS
CAR #
EMAIL
MOBILE #
INSURANCE TYPE
INSURANCE #
CAR MAKE
CAR MODEL
DO YOU REQUIRE TO HIRE A TRANSPONDER – YES or NO (please circle)
IF NO – YOUR TRANSPONDER # ................. (To save time on race night, it’s important that we know your number in advance please)
SPONSORS
TRAVEL DOLLARS PAID – $100 / junior driver
Nomination Fee : $ Nil (gate admission to be paid by non-members)
Transponder Hire Fee : $Nil
Late Nominations : Run rear of field
th
Nominations Close : 6 April, 2015
Send Nominations : via email [email protected] or fax 99411287
RULES and REGULATIONS
Carnarvon Speedway Club (Inc) runs under the ASCF Speedway Sedans Australia racing rules, regulations and code of conduct.
If there should be any unforeseen circumstances that cause stoppage of this event, the Carnarvon Speedway Club Executive
Committee shall make the final decision in regards to allocation of prizes, money and trophies.
Complimentary BBQ, trophy and travel money presentations will be held in the club house at the completion of racing – all welcome
Camping and hot showers available at the track
A minimum of 5 nominated race cars are required to host this event
“TWILIGHT MEET“
Scrutineering commences 2.30pm
Drivers briefing 3.30pm
Racing commences 4.00pm
I HEREBY AGREE TO ABIDE BY THE CARNARVON SPEEDWAY CLUB (INC) RULES AND REGULATIONS AND ALL DECISIONS MADE BY THE
APPOINTED OFFICIALS AND COMMITTEE.
Signed__________________________________________________________________
(to be signed by both driver and parent/guardian if driver under the age of 18)
President Wade Mason 0409 276 933
Vice Pres Lance Root 0437 485 991
Secretary Leticia Moorfoot 0432 743 909
Tammy Chapman 0429 871 283
Treasurer Paula Mogg 0408 913 166
Proudly sponsored by
HOPPYS AUTOPRO
CARNARVON
Dated______/______/______