Either ...
ONLINE
nominations for
THIS
weekend's race meeting have closed.
Late
nominations are not accepted
at the track on race day
. ROF
OR ...
Nominations for the
NEXT
race meeting have not yet opened.
Please check the club Facebook page for updates.
Current Date-Time
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Epoch Difference
NOMINATION FORM
This form can be used to nominate up to six drivers ... and up to four classes per driver
EVENT
EVENT DATE
/
Day
/
Month
Year
Nominations close
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Contact Person
*
First Name
Last Name
Email
*
example@example.com
Phone number
*
How many drivers?
*
1
2
3
4
5
6
How many drivers are you nominating?
Driver 1
Driver 1
*
First Name
Last Name
Club 1
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 1
*
Enter 0 (zero) for a Single Event licence
Classes 1
*
1
2
3
4
How many classes is this driver entering?
Class 1-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 1: Class 1
Kart 1-1
*
Kart number
Entry 1-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 1-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 1-1
PayPal Fee 1-1
Class 1-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 1: Class 2
Kart 1-2
*
Kart number
Entry 1-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 1-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 1-2
PayPal Fee 1-2
Class 1-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 1: Class 3
Kart 1-3
*
Kart number
Entry 1-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 1-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 1-3
PayPal Fee 1-3
Class 1-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 1: Class 4
Kart 1-4
*
Kart number
Entry 1-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 1-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 1-4
PayPal Fee 1-4
Driver 2
Driver 2
*
First Name
Last Name
Club 2
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 2
*
Enter 0 (zero) for a Single Event licence
Classes 2
*
1
2
3
4
How many classes is this driver nominating for?
Class 2-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 2: Class 1
Kart 2-1
*
Kart number
Entry 2-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 2-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 2-1
PayPal Fee 2-1
Class 2-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 2: Class 2
Kart 2-2
*
Kart number
Entry 2-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 2-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 2-2
PayPal Fee 2-2
Class 2-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 2: Class 3
Kart 2-3
*
Kart number
Entry 2-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 2-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 2-3
PayPal Fee 2-3
Class 2-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 1: Class 4
Kart 2-4
*
Kart number
Entry 2-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 2-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 2-4
PayPal Fee 2-4
Driver 3
Driver 3
*
First Name
Last Name
Club 3
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 3
*
Enter 0 (zero) for a Single Event licence
Classes 3
*
1
2
3
4
How many classes is this driver nominating for?
Class 3-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 3: Class 1
Kart 3-1
*
Kart number
Entry 3-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 3-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 3-1
PayPal Fee 3-1
Class 3-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 3: Class 2
Kart 3-2
*
Kart number
Entry 3-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 3-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 3-2
PayPal Fee 3-2
Class 3-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 3: Class 3
Kart 3-3
*
Kart number
Entry 3-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 3-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 3-3
PayPal Fee 3-3
Class 3-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 3: Class 4
Kart 3-4
*
Kart number
Entry 3-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 3-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 3-4
PayPal Fee 3-4
Driver 4
Driver 4
*
First Name
Last Name
Club 4
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 4
*
Enter 0 (zero) for a Single Event licence
Classes 4
*
1
2
3
4
How many classes is this driver nominating for?
Class 4-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 4: Class 1
Kart 4-1
*
Kart number
Entry 4-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 4-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 4-1
PayPal Fee 4-1
Class 4-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 4: Class 2
Kart 4-2
*
Kart number
Entry 4-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 4-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 4-2
PayPal Fee 4-2
Class 4-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 4: Class 3
Kart 4-3
*
Kart number
Entry 4-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 4-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 4-3
PayPal Fee 4-3
Class 4-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 4: Class 4
Kart 4-4
*
Kart number
Entry 4-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 4-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 4-4
PayPal Fee 4-4
Driver 5
Driver 5
*
First Name
Last Name
Club 5
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 5
*
Enter 0 (zero) for a Single Event licence
Classes 5
*
1
2
3
4
How many classes is this driver nominating for?
Class 5-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 5: Class 1
Kart 5-1
*
Kart number
Entry 5-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 5-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 5-1
PayPal Fee 5-1
Class 5-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 5: Class 2
Kart 5-2
*
Kart number
Entry 5-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 5-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 5-2
PayPal Fee 5-2
Class 5-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 5: Class 3
Kart 5-3
*
Kart number
Entry 5-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 5-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 5-3
PayPal Fee 5-3
Class 5-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 5: Class 4
Kart 5-4
*
Kart number
Entry 5-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 5-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 5-4
PayPal Fee 5-4
Driver 6
Driver 6
*
First Name
Last Name
Club 6
*
Adelaide
Angas
Alice Springs
Blanchetown
Busselton
Desert Dirt
Dirt Trackers
Great Southern
Jennacubbine
Loxton
Lucindale
Meekatharra
Morgan
Port Pirie
Renmark
Tatiara
Top End
Weipa
Yorke Peninsula
Driver's home club
AIDKA Licence Number 6
*
Enter 0 (zero) for a Single Event licence
Classes 6
*
1
2
3
4
How many classes is this driver nominating for?
Class 6-1
*
Midget
Rookie
Jnr Light
Jnr Heavy
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 6: Class 1
Kart 6-1
*
Kart number
Entry 6-1
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 6-1
*
Number or N/A (for Midgets and Rookie)
Standard Fee 6-1
PayPal Fee 6-1
Class 6-2
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 6: Class 2
Kart 6-2
*
Kart number
Entry 6-2
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 6-2
*
Number or N/A (for Midgets and Rookie)
Standard Fee 6-2
PayPal Fee 6-2
Class 6-3
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 6: Class 3
Kart 6-3
*
Kart number
Entry 6-3
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 6-3
*
Number or N/A (for Midgets and Rookie)
Standard Fee 6-3
PayPal Fee 6-3
Class 6-4
*
KT Light
KT Medium
KT Heavy
Statesman
KT Twin
100 Open
125 Light
125 Heavy
200 Open
Outlaw
Driver 6: Class 4
Kart 6-4
*
Kart number
Entry 6-4
*
Normal
Rear of Field
Probationary
Single Event Licence
Entry Type
Transponder 6-4
*
Number or N/A (for Midgets and Rookie)
Standard Fee 6-4
PayPal Fee 6-4
Payment
PAYMENT
Standard Cost
Amount owing if you choose to pay at-the-track
PayPal Cost
Amount owing if you choose to pay via PayPal
Standard Price
USE MINUS VALUE TO INCREASE (PRICE SET @ 20) -10 = $30
PayPal Price
USE MINUS VALUE TO INCREASE (PRICE SET @ 20)
Payment Method
*
Pay at the track
PayPal
PayPal Payment
Amount to be paid via PayPal
At Track Payment
Amount to be paid at the track
SAVING: If you pay online (PayPal)
Pay Now - PayPal
*
prev
next
( X )
AUD
loading smart payment buttons...
The payment is ready! It will be completed once you submit the form.
SUBMIT
Should be Empty: