2019 MRA Series - Round 5

- Select Category -
- Select Category -
- Select Category -
Please send results via SMS
I would like printed results

Driver Details
Check this box if the Entrant and Driver details are the same.
Entrant Details
Vehicle Details
I of , , ,
License Number: being the entrant/s of the vehicle described on this entry form wish to enter that vehicle for the above mentioned meeting. I/We declare that the particulars on this form are true and correct in every particular, to the best of my/our knowledge and belief. You are invited to seek legal advice before signing this document.
"I/We have read and understood the Supplementary Regulations issued for this Meeting and agree to be bound by them and by the National Competition Rules of the Australian Auto-Sport Alliance Pty. Ltd. (AASA) I/We also acknowledge and agree that neither Australian Auto-Sport Alliance Pty. Ltd., nor Motor Racing Australia Pty. Ltd., nor the sponsor organisations, nor the land owners or lessees, nor the organisers of the race meeting/event, nor their respective servants, officials, representatives or agents (all of whom shall collectively be called "the Organisers"), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974. I/We acknowledge that motor sport is dangerous and accidents causing death, bodily injury, disability and property damage can, and do, happen.

I, the driver have read and accept the above disclaimer and declaration
I, the entrant have read and accept the above disclaimer and declaration
Payment Details
Direct Deposit
Credit Card (1.5%)
PayPal (2.5%)