Ruapuna Test Day Registration Form

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

Pre entry is highly recommended.

If you register, but then can not make it, please let us know.

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

Payment on the day is possible but pre payment is preferred to save time on the day.
- 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

Date registering for:*

Friday 6th Sept 2024 Test Day

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

Driver/Rider 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 Type*

Saloon CarSingle Seaters/Open Wheelers

Vehicle Make and Model*

Colour*

Race Number

Member Club*

Canterbury Car ClubOther

Cost per car:
$100 CCC Members
$140 Other Clubs

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

After a driver arrives at the track and signing in on the day, 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

Passengers - OK in a car approved for competition by MSNZ, passenger must sign in at office and wear wristband to gain track access.
Driver is responsible for ensuring passenger is appropriate attired, understands the safety equipment operation and that the vehicle safety gear is appropriate as per MSNZ rules

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