You can always press Enter⏎ to continue
ROUND 2: 15 MARCH 2025 ZWARTKOPS RACEWAY
PLEASE FILL OUT THIS FORM TO CONFIRM YOUR PLACE FOR REGIONAL ROUND 2 OF ROK CUP 2025
17
Questions
START
1
DRIVER NAME
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
DRIVER DATE OF BIRTH
*
This field is required.
/
Date
Day
Month
Year
Previous
Next
Submit
Press
Enter
3
GUARDIAN/ENTRANT NAME
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
4
EMAIL
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
MOBILE
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
6
PARC FERME ACCESS
*
This field is required.
ONLY ONE PERSON IS ALLOWED INSIDE PARC FERME WITH THE DRIVER; PLEASE FILL OUT THE NAME BELOW. PLEASE RESPECT THE RULES OF PARC FERME
First Name
Last Name
Previous
Next
Submit
Press
Enter
7
RACE NUMBER
*
This field is required.
IF YOU DO NOT HAVE A RACE NUMBER, PLEASE STOP HERE , AND OBTAIN ONE FROM MSA BEFORE PROCEEDING. ROK RACE NUMBERS ARE TWO DIGITS ONLY.
0-99
Previous
Next
Submit
Press
Enter
8
PROVINCE
*
This field is required.
Please Select
WESTERN CAPE
EASTERN CAPE
NORTHERN REGIONS
KZN
OTHER
Please Select
Please Select
WESTERN CAPE
EASTERN CAPE
NORTHERN REGIONS
KZN
OTHER
Previous
Next
Submit
Press
Enter
9
CHASSIS
*
This field is required.
PLEASE INCLUDE THE MAKE OF YOUR CHASSIS BELOW
Previous
Next
Submit
Press
Enter
10
TEAM NAME
*
This field is required.
PLEASE ENTER TEAM NAME BELOW OR N/A IF NOT WITH A TEAM
Previous
Next
Submit
Press
Enter
11
MSA LICENSE NUMBER
PLEASE STOP HERE AND CONTACT MSA WITH REGARDS TO RACING LICENSE BEFORE PROCEEDING WIHT OYUR ENTRY .
Previous
Next
Submit
Press
Enter
12
MSA LICENSE
IF YOU DO NOT HAVE 2025 LICENSE YET - SKIP THIS STEP
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
Browse Files
Cancel
of
Previous
Next
Submit
Press
Enter
13
TANSPONDER
DO YOU NEED TO RENT A TRANSPONDER FOR THE RACE?
YES
NO
Previous
Next
Submit
Press
Enter
14
TRANSPONDER RENTAL
Please Select
ONE TRANSPONDER RENTAL
Please Select
Please Select
ONE TRANSPONDER RENTAL
Previous
Next
Submit
Press
Enter
15
TRANSPONDER NUMBER
PLEASE ENTER YOUR PERSONAL TRANSPONDER NUMBER FOR THE TIMEKEEPER
Previous
Next
Submit
Press
Enter
16
CLASS
*
This field is required.
PLEASE SCROLL TO SELECT CORRECT CLASS REGIONAL ENTRY FOR ALL CLASSES IS R2950 (EXCEPT CADET WHICH IS R1950)
Please Select
CADET
MINI ROK U/10
MINI ROK
OK-J
OK-N
KZ2
Please Select
Please Select
CADET
MINI ROK U/10
MINI ROK
OK-J
OK-N
KZ2
Previous
Next
Submit
Press
Enter
17
MINI PRACTICE TYRES
*
This field is required.
NEW PRACTICE TYRES ARE NOT REQUIRED; HOWEVER, PLEASE INDICATE BELOW IF YOU WOULD LIKE TO ORDER PRACTICE TYRES WITH YOUR ENTRY. MINI SLICKS R3200.
Please Select
NO THANKS
1 X MINI LEVANTO PRACTICE SLICKS
2 X MINI LEVANTO PRACTICE SLICKS
3 X MINI LEVANTO PRACTICE SLICKS
Please Select
Please Select
NO THANKS
1 X MINI LEVANTO PRACTICE SLICKS
2 X MINI LEVANTO PRACTICE SLICKS
3 X MINI LEVANTO PRACTICE SLICKS
Previous
Next
Submit
Press
Enter
18
MINI WET TYRES
*
This field is required.
WET TYRES ARE ONLY REQUIRED IF THE RACE IS DECLARED WET BY OFFICIALS. PLEASE NOTE THAT WET TYRES ARE ONLY AVAIABLE FROM REDSTAR RACEWAY
Please Select
NO THANKS
MINI LEVANTO WET TYRES (R3700)
Please Select
Please Select
NO THANKS
MINI LEVANTO WET TYRES (R3700)
Previous
Next
Submit
Press
Enter
19
CONTROLLED FUEL MINI
*
This field is required.
CONTROLLED FUEL IS PROVIDED ON
SATURDAY
ONLY
Please Select
MINI RACE FUEL
Please Select
Please Select
MINI RACE FUEL
Previous
Next
Submit
Press
Enter
20
I HAVE REGISTERED FOR A MINI ENGINE FOR THE SEASON
*
This field is required.
PLEASE NOTE POOL ENGINES ARE SUPPLIED ON SATURDAY MORNING ONLY
YES
NO
Previous
Next
Submit
Press
Enter
21
MINI POOL ENGINE
*
This field is required.
REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON. PLEASE NOTE POOL ENGINES AND CONTROLLED FUEL ARE PROVIDED ON SATURDAY ONLY
Please Select
POOL ENGINE (SATURDAY ONLY - R2,900.00)
Please Select
Please Select
POOL ENGINE (SATURDAY ONLY - R2,900.00)
Previous
Next
Submit
Press
Enter
22
OK-J PRACTICE TYRES
*
This field is required.
NEW PRACTICE TYRES ARE NOT REQUIRED; HOWEVER, PLEASE INDICATE BELOW IF YOU WOULD LIKE TO ORDER PRACTICE TYRES WITH YOUR ENTRY. SNR SLICKS R4300.
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Previous
Next
Submit
Press
Enter
23
WET TYRES
*
This field is required.
WET TYRES ARE ONLY REQUIRED IF THE RACE IS DECLARED WET BY OFFICIALS. PLEASE NOTE THAT WET TYRES ARE ONLY AVAIABLE FROM REDSTAR RACEWAY
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Previous
Next
Submit
Press
Enter
24
CONTROLLED FUEL OK-J
*
This field is required.
CONTROLLED FUEL IS PROVIDED ON
SATURDAY
ONLY
Please Select
OK-J RACE FUEL (R370)
Please Select
Please Select
OK-J RACE FUEL (R370)
Previous
Next
Submit
Press
Enter
25
I HAVE REGISTERED FOR AN OK-J ENGINE FOR THE SEASON
*
This field is required.
PLEASE NOTE POOL ENGINES ARE SUPPLIED ON SATURDAY MORNING ONLY
YES
NO
Previous
Next
Submit
Press
Enter
26
OK-J POOL ENGINE
*
This field is required.
REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON. PLEASE NOTE POOL ENGINES AND CONTROLLED FUEL ARE PROVIDED ON SATURDAY ONLY
Please Select
OK-J POOL ENGINE (SATURDAY - R5,500.00)
Please Select
Please Select
OK-J POOL ENGINE (SATURDAY - R5,500.00)
Previous
Next
Submit
Press
Enter
27
OK-N PRACTICE TYRES
*
This field is required.
NEW PRACTICE TYRES ARE NOT REQUIRED; HOWEVER, PLEASE INDICATE BELOW IF YOU WOULD LIKE TO ORDER PRACTICE TYRES WITH YOUR ENTRY. SNR SLICKS R4300.
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Previous
Next
Submit
Press
Enter
28
WET TYRES
*
This field is required.
WET TYRES ARE ONLY REQUIRED IF THE RACE IS DECLARED WET BY OFFICIALS.
PLEASE NOTE THAT WET TYRES ARE ONLY AVAIABLE FROM REDSTAR RACEWAY
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Previous
Next
Submit
Press
Enter
29
CONTROLLED FUEL OK-N
*
This field is required.
CONTROLLED FUEL IS PROVIDED ON
SATURDAY
ONLY
Please Select
OK-N RACE FUEL (R390)
Please Select
Please Select
OK-N RACE FUEL (R390)
Previous
Next
Submit
Press
Enter
30
I HAVE REGISTERED FOR AN ENGINE FOR THE SEASON
*
This field is required.
PLEASE NOTE POOL ENGINES ARE SUPPLIED ON SATURDAY MORNING ONLY
YES
NO
Previous
Next
Submit
Press
Enter
31
OK-N POOL ENGINE
*
This field is required.
REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON. PLEASE NOTE POOL ENGINES AND CONTROLLED FUEL ARE PROVIDED ON SATURDAY ONLY
Please Select
OK-N POOL ENGINE (SATURDAY - R5,500.00)
Please Select
Please Select
OK-N POOL ENGINE (SATURDAY - R5,500.00)
Previous
Next
Submit
Press
Enter
32
KZ2 PRACTICE TYRES
*
This field is required.
NEW PRACTICE TYRES ARE NOT REQUIRED; HOWEVER, PLEASE INDICATE BELOW IF YOU WOULD LIKE TO ORDER PRACTICE TYRES WITH YOUR ENTRY. SNR SLICKS R4300.
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
Previous
Next
Submit
Press
Enter
33
WET TYRES
*
This field is required.
WET TYRES ARE ONLY REQUIRED IF THE RACE IS DECLARED WET BY OFFICIALS. PLEASE NOTE THAT WET TYRES ARE ONLY AVAIABLE FROM REDSTAR RACEWAY
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
Previous
Next
Submit
Press
Enter
34
VOUCHER
PLEASE ENTER VOUCHER CODE BELOW IF APPLICABLE
Previous
Next
Submit
Press
Enter
35
VOUCHER VALUE
Previous
Next
Submit
Press
Enter
36
calculation
Previous
Next
Submit
Press
Enter
37
PAYMENT AMOUNT
prev
next
( X )
Description
ZAR
+ OR enter a custom value
Previous
Next
Submit
Press
Enter
38
TERMS AND CONDITIONS
*
This field is required.
Previous
Next
Submit
Press
Enter
39
Unique ID
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
39
See All
Go Back
Submit