IHRA Licence Application / Renewal Form

IHRA Licence Application / Renewal Form
All NEW applicants must upload a copy of their civil drivers licence (back and front).

Teen Racers must upload a copy of their birth certificate or passport in lieu of no civil licence.

NZDRA Licence transfers - please upload a copy of your NZDRA licence.

**The IHRA Licence does not include your IHRA NZ Membership. Please also complete this IHRA NZ Membership form, your IHRA NZ Membership includes your log book (if applicable) and removes the need to pay day affiliation fees at IHRA sanctioned events.

The IHRA NZ Board is working to combine these products together for future ease.
Full Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Email
joebloggs@whatsgood.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Race Number
New licence applicants will be allocated a race number
Type of application
Vehicle Type
Vehicle Type
Licence Type and Class Intended to Race In
Group 1 - Medical Required
Group 1 - Medical Required
Group 2 - Medical Required
Group 2 - Medical Required
Group 3 - Medical Required
Group 3 - Medical Required
A3 - Restricted to 10.00 and slower
A3 - Restricted to 10.00 and slower
A3 - TEEN RACER
Supporting Documents - PDF Files Only Please

Please upload all supporting documents, i.e. new applicants front and back copy of civil licence. G1, G2, G3 licence applicants copy of completed medical if needing to be renewed.
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Licence and Duration Being Purchased
prevnext( X )
1 Year Licence (G1, G2, G3, A3)
Valid for 12 months from date of issue

$190.00 NZD



1 Year Licence (Teen Racer ONLY)
Valid for 12 months from date of issue

$90.00 NZD



2 Year Licence (G1, G2, G3, A3)
Valid for 24 months from date of issue

$360.00 NZD



3 Year Licence (G1, G2, G3, A3)
Valid for 36 months from date of issue

$528.00 NZD



Total

$0.00 NZD
Disclaimer

I, the undersigned, do hereby understand the full provisions of the competitor's licence issued to me by IHRA NZ, and accept the responsibility of operating my vehicle in a safe, sportsmanlike manner, and in accordance with all rules and regulations issued by IHRA NZ, and further, will accept any ruling by IHRA NZ suspending my competitor's licence rights in the event that I fail to strictly follow all of my responsibilities. I agree to abide by all rules, regulations and requirements contained in the IHRA NZ rulebook, related publications and any amendments issued by IHRA NZ subsequent to the issuance of my competitors licence. I hereby agree and acknowledge that the Release and Waiver of Liability, Assumption of Risk, Indemnity and Rights Agreement which I have signed extends to all acts of negligence or other wrongdoing by the Releases, and is intended to be as broad and inclusive as is permitted under the applicable law, and that if any portion thereof is held invalid, it is agreed that the balance shall remain in full force and effect. By submitting this form you are consenting to IHRA NZ providing the Racer Representative of your selected category your contact information.
Signature
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