Ruapuna Test Day Registration Form

Please fill in your details below to register for this race vehicle test day.

Dual driver cars, please submit one form per driver and let us know who you are sharing with, no additional fee

Pre registration of car and all drivers required.
Pre payment required.

- CCC bank acc 02 0865 0020166 25

Please use a useful reference including the date of the test day and your name if the account is not under your name. Also ensure payments are made early enough we can see the payment before the test day

Additional rules/info for this Test Day:
- Limited to 25 cars maximum
- No groupings, track open all day other than lunch break and red flags
- $250 per car
- No passengers
- Pre entry and payment required
- Track open for testing 9:00-12:30 & 12:30-4:00
- Medical and Rescue Crew on site

Date registering for:*

Saturday 7th Sept 2024 Test Day

To register for other dates and for full details see https://www.ruapuna.co.nz/testdays/

Driver Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

City

Email*

Phone Number*

Date of Birth*

Next of Kin (In case of Emergency)*

NamePhone Number

First time testing at Ruapuna?

YES

Dual Drive, Sharing Car With:

2nd driver name. Form for each driver required

NOTE - If you are sharing the drive with anyone, they must also complete their own registration/indemnity form

Vehicle Make and Model*

Colour*

Race Number

Cost per car:$250

Pre payment end entry required

Bank a/c for online payments:
Canterbury Car Club 02 0865 0020166 25
Please use Test Day and your name as a reference

All drivers to sign in at CCC office, the supplied wristband must be worn to gain track access.

Driver must present a vehicle which meets Motorsport NZ Schedule A requirements

Appropriate safety gear must be worn at all times to suit Motorsport NZ Schedule Z requirements

No passengers on this day

Instructions of staff & volunteers must be followed at all times.

Noise Limit 95dBA measured trackside.

By submitting this form and signing it on arrival it at the track; I agree to the rules, terms and conditions given verbally by staff or on https://www.ruapuna.co.nz/testdays/ and that the information submitted on the form is accurate and correct