Time Attack Registration Form

Time Attack Registration Form
Location: Killarney International Raceway Cape Town
Race Dates: 19 and 20 September 2025.

Cape Town’s premier Time Attack returns for its 3rd year – two days of pure adrenaline as drivers push the limits in a battle against the clock.
Entry Fees

R1500.00
Please fill-out 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
Have you participated in the time attack before
M.S.A License number
Emergency Contact Person

First NameLast Name
Emergency Person Phone Number

Area CodePhone Number
Relationship to Emergency Contact Person
Car Details
Make
Model
Engine Capacity
Number of cylinders
Year
Forced Induction
License Plate Number if applicable
Modifications
Bike Details
Make
Model
Engine Capacity
Number of cylinders
Year
Forced Induction
License Plate Number if applicable
Modifications
I would also like to receive non competitor (marketing) event information from the organizers
I have read and understood and abide myself to the Western province motor club , MasterDrive and M.S.A (Motor Sport South Africa) GCR regulations.
Driver's Signature

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Date Signed

MonthDayYear
Date
Should be Empty:

Entry Fees