Pedal Car GP Registration Form

Pedal Car GP Registration
Team Name*
We allocate car numbers. If you have previously participated what was your number?
Section*
About your team—don't forget to mention your generous sponsors*
About your car*
Peddallers

Juniors (Under 13) teams can have 6 to 8 Pedallers, Entry $50. Open (Over 13) teams 4 Pedallers, Entry $50. Elite (Adults) 4 Pedallers, Entry $100
1.*

First NameLast Name
2.*

First NameLast Name
3.*

First NameLast Name
4.*

First NameLast Name
Juniors Only
5.

First NameLast Name
6.

First NameLast Name
7.

First NameLast Name
8.

First NameLast Name
Pit Crew

(Responsible – one must be an adult over 18 years of age)
1.*

First NameLast Name
2.*

First NameLast Name
Other Information
Team Leader*

First NameLast Name
Club/Organisation
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number:*

Area CodePhone Number
E-mail*
Photo of your car*

Upload File

Cancelof
To be eligible to Race you MUST SUBMIT the following on the day:
I will submit Signed Terms & Conditions Form on the day.
I will submit my Team Sponsorship Form on the day.
Payment Details

*Payment must be made for registration to be complete and make sure you use your Team Name as the reference.
Payment to:
TAPCGPC Inc
BSB 633 000
Account No 163022999
Should be Empty:

Pedal Car GP Registration