AU3 Expression of Interest Form

AU3 Expression of Interest

Please fill the form below accurately and entirely. Registration forms will only be provided to drivers that have completed an expression of interest form.
Do You Have a Team to Race With?

YesNo
Race Team

Team NameManager/Owner
Driver Name:

First NameLast Name
Motorsport Australia License
Date of Birth

MonthDayYear
Date
If Under 18 - Guardian Name

First NameLast Name
Contact Details

Phone NumberGuardian Phone Number
Email
example@example.com
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Are you:

Buying a CarLeasing a CarAlready Own a Car

Previous Race Experience

Which Rounds Do You Intend to Compete in?