Date Registration Application Form

Date Registration Application Form
I/We wish to register the following date(s) to be shown on the State Open calendar. The below information (and any attachments) have been provided to support our application.

Please note that unfortunately due to circumstances outside of our control, we are currently not able to release a draft calendar Clubs and Promoters can now complete this form for your 2024 open meetings. However, until the NSW Open Calendar is finalised, we will be unable to confirm any dates applied for.
Club/Promoter: *
Address:*

Street Address

Street Address Line 2

CityState / Province

Post Code
Applicant Name:*

First NameLast Name
Phone Number:*
Please enter a valid phone number.
Email:*
example@example.com
Event Details
Level:*

National OpenInterclub (6-10 clubs)
Discipline:*

Motocross/SupercrossDirt Track/TrackEnduro/Cross CountryRoad RaceHistoric Road RaceMoto - TrialsSupermotoSpeedwayMinikhana
Please note: Minikhana includes: Minikhana, Minicross, Mini Enduro, Mini Trials.
Participants:*

Senior OnlyJunior OnlyBoth Junior & Senior
Proposed Date(s):*
Meeting Name:*
Information (outline of classes, format etc):*
Please note: Dates may be subject to change; at which time you will be notified by MNSW.
Any Supporting Documents:

Cancelof
Declaration
By signing below, I/we understand that an application fee of $50.00(per event) will be invoiced and sent to the nominated email above in order to be eligible to obtain the date requested and understand this fee will be deducted from our Permit Application fee or refunded upon the completion of the event, if requested.
Signature:*

Clear
Name:*

First NameLast Name
Should be Empty:

Date Registration Application Form

Event Details

Declaration