2023 Adelaide Hills Rally Officials

2023 Adelaide Hills Rally Officials

Official's Registration Form
Thursday 12th to Sunday 15th October 2023
CONTACT INFORMATION
Name:*

First NameLast Name
Date of Birth:*

DayMonthYear
Address:*
Address 2:
Suburb:*
Postcode:*
State:*
Email:*

Confirmation Email
Mobile Number:*
Alternate Number:
Motorsport Australia Licence Number:
Motorsport Australia Licence Level:
Have you completed workzone traffic management training (Blue Card)?*

YesNo
Emergency Contact Name:*
Emergency Contact Number:*
EVENT INFORMATION
Have you previously officiated at the Adelaide Hills Rally?*

YesNo
What is your previous Rally Official experience:
Who would you like to work with?
People:
What roles would you like to perform: 1st Preference*
What roles would you like to perform: 2nd Preference
What roles would you like to perform: 3rd Preference
Will you have transport available during the event?*

YesNo
Tick your availability*

Thursday 12th of October 2023 Recce - DayFriday 13th of October - Day - Event SetupFriday 13th of October - Afternoon/Evening - StagesSaturday 14th of October 2022 - Day - Stages (Shire Roads)Saturday 14th of October 2022 - Evening (The Bend)Sunday 15th of October 2022 - Day (Shire Roads)Sunday 15th of October - Afternoon (The Bend)Officals Training Day - Date TBCSAPOL White Card Training - Option 1 - July 19th @7pmSAPOL White Card Training - Option 2 - Date TBCMonday 15th of October - Event Packup
Are there any medical details we need to know about?
Download Motorsport Australia Risk Warning and Disclaimer Form
Officials Coordinator

Stephany Broad

Mobile: 0428660018

Email: steph@ume.cool
Please verify that you are human*
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