GMSC Kingdom Stages Marshal Registration Form

1

Name* This field is required.

First Name

Last Name

2

Mobile Number * This field is required.

Please enter a number

3

Email* This field is required.

example@example.com

4

MSUK Licence Number * This field is required.

5

Marshal Grade* This field is required.Please select the current grades of Marshal Licence you currently hold

Registered Marshal

Grade 3 Sector Marshal

Grade 1 Rally Marshal

Grade 3 Senior Stage Marshal

Grade 2 Timing Marshal

Stage Commander

Grade 2 Radio Marshal

Event Official

Not Yet Registered As A Marshal

8

Will You Be Attending With Another Marshal or Radio Marshal Please name any others you will be attending with, otherwise please leave blank

Name 1

Name 2

Name 3

Name 4

9

Emergency Contact Details * This field is required.In event of an accident, please give details of an Emergency Contact

Name

Contact Number

House Number

Postcode

10

If you have any comments, or requests, please detail below