GMSC Kingdom Stages Radio Registration Form

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Mobile Number * This field is required.

4

MSUK Licence Grade* This field is required.

Registered Marshal

Not Yet Registered

Marshal

Radio Marshal

5

MSUK Licence Number * This field is required.

6

Radio Experience* This field is required.

Start

Spectator Areas

Stop

Chicanes

7

Do You Have A Red Flag * This field is required.

YESNO

8

Do You Have A Mast * This field is required.

YESNO

9

Do You Have A 4x4* This field is required.

YESNO

10

Radio Call Sign * This field is required.

Main Car Set Call Sign

Handheld Radio Call Sign If Applicable

11

Will You Be Double CrewedPlease Name All Persons Who Will Be Attending With You, Otherwise Please Leave Blank

Name 1

Name 2

Name 3

Name 4

12

Emergency Contact Details * This field is required.

Name

Contact Phone Number

House Number

Postcode

13

If You Have Any Requests Or Comments, Please Detail Below