2025 Targa Tasmania - Officials Registration Form
EVENT REGISTRATION
EVENT
*
Targa Tasmania 2025 (16 - 21 November)
PREFERRED TEAM OR STAGE
YOUR DETAILS
FULL NAME
*
First Name
Surname
CONTACT DETAILS
*
Street Address
Street Address Line 2
City
State
Postcode
PHONE NUMBER
*
Format: 0000000000.
E-MAIL
*
example@example.com
EMERGENCY CONTACT DETAILS
*
Full Name
Relationship
Contact Phone Number
State / Province
Postal / Zip Code
EXPERIENCE & QUALIFICATIONS
DO YOU HOLD AN OFFICIAL'S LICENCE?
*
Yes
No
IF YES, PLEASE PROVIDE DETAILS BELOW:
Issuing Motorsport Body
Licence Number
Licence Number
Expiry
PAST RALLY OFFICIAL EXPERIENCE (leave blank if you are a first time official)
Rows
Event Name
Dates
Role
1
2
3
PLEASE INDICATE YOUR AVAILABILITY FOR THE EVENT:
Entire Event (16 - 21 November 2025)
Single Day (Select Below)
Multiple Days (Select Below)
IF YOU ARE NOT AVAILABLE FOR THE ENTIRE EVENT, PLEASE SELECT YOUR AVAILABILITY:
16th November 2025
17th November 2025
18th November 2025
19th November 2025
20th November 2025
21st November 2025
GENERAL HEALTH
DO YOU HAVE ANY HEALTH PROBLEMS THAT TARGA AUSTRALIA SHOULD BE AWARE OF?
*
Submit
Should be Empty: