Center of the World Rally

Car Race Registration Form
Location: Shai Hills to Prampram to Sogakofe
Race Dates: Coming soon
Time: 8:00AM - 5:00PM
Please fill-up the form below to register to the event:
Driver Information
Driver's Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Phone Number

Area CodePhone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Car Details
Make
Model
Year
Car Color
Modifications
License Plate Number
Registration Payment
Registration Fee
prevnext( X )
1 Day Participation2,000.00GHS

Total 0.00GHS
Release & Agreement
Driver's Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Car Race Registration Form