ROK CUP 2025 REGIONAL ROUND 3 ENTRY FORM

1
DRIVER NAME* This field is required.
First Name
Last Name
2
DRIVER DATE OF BIRTH* This field is required.
Date
Day
Month
Year
3
GUARDIAN/ENTRANT NAME* This field is required.
First Name
Last Name
4
EMAIL* This field is required.
example@example.com
5
MOBILE * This field is required.
Please enter a valid phone number.
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
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
8
PROVINCE* This field is required.
Please Select
Please Select
WESTERN CAPE
EASTERN CAPE
NORTHERN REGIONS
KZN
OTHER
9
CHASSIS* This field is required.PLEASE INCLUDE THE MAKE OF YOUR CHASSIS BELOW
10
TEAM NAME * This field is required.PLEASE ENTER TEAM NAME BELOW OR N/A IF NOT WITH A TEAM
11
MSA LICENSE NUMBERPLEASE STOP HERE AND CONTACT MSA WITH REGARDS TO RACING LICENSE BEFORE PROCEEDING WIHT OYUR ENTRY .
12
MSA LICENSEIF YOU DO NOT HAVE 2025 LICENSE YET - SKIP THIS STEP
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Max. file size: 10.6MB
Cancelof
13
TANSPONDERDO YOU NEED TO RENT A TRANSPONDER FOR THE RACE?
YESNO
14
TRANSPONDER RENTAL
Please Select
Please Select
ONE TRANSPONDER RENTAL
15
TRANSPONDER NUMBERPLEASE ENTER YOUR PERSONAL TRANSPONDER NUMBER FOR THE TIMEKEEPER
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
Please Select
CADET
MINI ROK U/10
MINI ROK
OK-J
OK-N
KZ2
ROK ACADEMY
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
Please Select
NO THANKS
1 X MINI LEVANTO PRACTICE SLICKS
2 X MINI LEVANTO PRACTICE SLICKS
3 X MINI LEVANTO PRACTICE SLICKS
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
Please Select
NO THANKS
MINI LEVANTO WET TYRES (R3700)
19
CONTROLLED FUEL MINI* This field is required.CONTROLLED FUEL IS PROVIDED ON SATURDAY ONLY
Please Select
Please Select
MINI RACE FUEL
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
YESNO
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
Please Select
POOL ENGINE (SATURDAY ONLY - R2,900.00)
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
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
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
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
24
CONTROLLED FUEL OK-J* This field is required.CONTROLLED FUEL IS PROVIDED ON SATURDAY ONLY
Please Select
Please Select
OK-J RACE FUEL (R370)
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
YESNO
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
Please Select
OK-J POOL ENGINE (SATURDAY - R5,500.00)
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
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
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
Please Select
NO THANKS
1 X SNR LEVANTO WET TYRES (R4900)
29
CONTROLLED FUEL OK-N* This field is required.CONTROLLED FUEL IS PROVIDED ON SATURDAY ONLY
Please Select
Please Select
OK-N RACE FUEL (R390)
30
I HAVE REGISTERED FOR AN ENGINE FOR THE SEASON* This field is required.PLEASE NOTE POOL ENGINES ARE SUPPLIED ON SATURDAY MORNING ONLY
YESNO
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
Please Select
OK-N POOL ENGINE (SATURDAY - R5,500.00)
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
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
33
ROK ACADEMY 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. PLEAS NOTE ONLY LEVANTO TYRE WILL BE ALLOWED ON TRACK
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
34
ROK ACADEMY POOL ENGINE* This field is required.POOL ENGINES FOR THE ROK ACADEMY ARE SPONSORED BY THE ROK CUP. PLEASE NOTE POOL ENGINES AND CONTROLLED FUEL ARE PROVIDED ON SATURDAY ONLY
Please Select
Please Select
ACADEMY POOL ENGINE (SPONSORED)
35
ACADEMY CLASS CONTROLLED FUEL* This field is required.CONTROLLED FUEL FOR THE ROK ACADEMY IS SPONSORED BY THE ROK CUP. CONTROLLED FUEL IS PROVIDED ON SATURDAY ONLY
Please Select
Please Select
ACADEMY RACE FUEL (SPONSORED BY ROK)
36
VOUCHERPLEASE ENTER VOUCHER CODE BELOW IF APPLICABLE
37
VOUCHER VALUE
38
calculation
39
PAYMENT AMOUNT
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Description
ZAR
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40
TERMS AND CONDITIONS* This field is required.
41
Unique ID
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