NQ Burnouts Round 4, 4th October 2025 - Registration Form
Please complete your registration by filling the form below. You are also able to specify any passengers and pit crew who will be accompanying you at the event. Don’t forget to select if you are a Member or Non-Member. If you would like to become a Member for the 2025 Burnout season to receive discounted rates, please select this option below.
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Speedway Australia Licence Number
*
Phone Number
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Payments are processed through Square. You may pay using any major credit card / debit card.
My Products
*
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( X )
Open Class
Member
$
50.00
AUD
Open Class
Non-Member
$
80.00
AUD
V8 Class
Member
$
50.00
AUD
V8 Class
Non-Member
$
80.00
AUD
Pro 6 Cylinder Class
Member
$
50.00
AUD
Pro 6 Cylinder Class
Non-Member
$
80.00
AUD
6 Cylinder Class
Member
$
50.00
AUD
6 Cylinder Class
Non-Member
$
80.00
AUD
Passenger
$
20.00
AUD
Quantity
1
2
3
4
5
6
7
8
9
10
2025 Membership
If you would like to become a member of NQ Burnouts and receive discounted entry
$
20.00
AUD
Credit Card
Car Name
Fuel Type
Any other information relevant to your vehicle?
Please provide a photo of your vehicle being entered
Photo’s may be used for promotional purposes
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Conditions of Entry
*
I understand and will abide by PPE standards (long sleeved shirt, long bottoms, closed in shoes and helmets- AS/NZS 1698 approved for drivers and passengers. Closed in shoes for all pit crew) and NQ Burnouts Rules and Regulations. This is an NQ Burnouts Event. Unless authorised and approved in writing by the President, I agree that there is to be no selling of any items or products, fundraising of any kind or similar. Competitors- I also take full responsibility to ensure all passengers and pit crew abide by all of the above.
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