Self Scrutineering Form
Date
-
Day
-
Month
Year
Date
Kart Number
Select Round
Rnd 1 - Canberra
Rnd 2 - EC
Rnd 3 - Orange
Rnd 4 - Coffs Harbour
Rnd 5 - Port Macquarie
Rnd 6 - Taree
Rnd 7 - Newcastle
Rnd 8 - Lithgow
Scrutineering Checklist
Declaration - I declare the above information is true and correct
Submit
Should be Empty: