THE ROK CUP NORTHERN REGIONS ROUND 5 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 NUMBER* This field is required.PLEASE ENTER YOUR 2025 LICENSE NUMBER HERE
12
MSA LICENSE* This field is required.IF YOU DO NOT HAVE 2025 LICENSE YET - SKIP THIS STEP
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Cancelof
13
TRANSPONDER* This field is required.DO YOU NEED TO RENT A TRANSPONDER FOR THE RACE?
YESNO
14
TRANSPONDER RENTAL* This field is required.
Please Select
Please Select
ONE TRANSPONDER RENTAL
15
TRANSPONDER NUMBER* This field is required.PLEASE ENTER YOUR PERSONAL TRANSPONDER NUMBER FOR THE TIMEKEEPER
16
CLASS* This field is required.PLEASE SCROLL TO SELECT CORRECT CLASS
Please Select
Please Select
CADET
MINI ROK U/10
MINI ROK
OK-J
OK-N
17
MINI RACE TYRESRACE TYRES ARE ONLY MANDATORY IF YOU ARE RACING NATIONALLY.
Please Select
Please Select
MINI LEVANTO RACE SLICKS (R3520)
NO THANKS
18
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
19
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 AVAILABLE FROM REDSTAR RACEWAY
Please Select
Please Select
NO THANKS
MINI LEVANTO WET TYRES (R4400)
20
MINI WET TYRES CONFIRMATION* This field is required.YOU HAVE NOT SELECTED WET TYRES, PLEASE CONFIRM BELOW THAT YOU ARE AWARE THAT WET TYRES ARE ONLY AVAILABLE FROM REDSTAR RACEWAY
Please Select
Please Select
I CONFIRM THAT I DO NOT NEED WETS AND UNDERSTAND THAT THEY WILL NOT BE FOR SALE AT THE TRACK
21
CONTROLLED FUEL MINI* This field is required.CONTROLLED FUEL IS USED ON SATURDAY ONLY
Please Select
Please Select
MINI WEEKEND PRACTICE AND RACE FUEL
22
I HAVE REGISTERED FOR A MINI ENGINE FOR THE SEASON* This field is required.POOL ENGINES ARE ONLY SUPPLIED ON RACE DAY (SATURDAY)
YESNO
23
MINI POOL ENGINE* This field is required.REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON (RACE ENGINE IS ONLY SUPPLIED ON SATURDAY
Please Select
Please Select
POOL ENGINE (ONE RACE WEEKEND - R3,500.00)
24
CONTROLLED FUEL OK-J* This field is required.CONTROLLED FUEL IS USED ON SATURDAY ONLY
Please Select
Please Select
OK-J WEEKEND PRACTICE AND RACE FUEL
25
I HAVE REGISTERED FOR AN OK-J ENGINE FOR THE SEASON* This field is required.POOL ENGINES ARE ONLY SUPPLIED ON RACE DAY (SATURDAY)
YESNO
26
OK-J POOL ENGINE* This field is required.REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON
Please Select
Please Select
OK-J POOL ENGINE (ONE RACE WEEKEND - R6,500.00)
27
CONTROLLED FUEL OK-N* This field is required.CONTROLLED FUEL IS USED ON SATURDAY ONLY
Please Select
Please Select
OK-N WEEKEND PRACTICE AND RACE FUEL (R765)
28
I HAVE REGISTERED FOR AN ENGINE FOR THE SEASON* This field is required.POOL ENGINES ARE ONLY SUPPLIED ON RACE DAY (SATURDAY)
YESNO
29
OK-N POOL ENGINE* This field is required.REQUIRED IF YOU HAVE NOT SIGNED UP FOR THE 2025 ROK SEASON
Please Select
Please Select
OK-N POOL ENGINE (ONE RACE WEEKEND - R6,500.00)
30
OK RACE TYRES* This field is required.RACE TYRES ARE ONLY MANDATORY IF YOU ARE RACING NATIONALLY.
Please Select
Please Select
SNR LEVANTO RACE SLICKS (R4,730)
NO THANKS
31
OK 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 R4730.
Please Select
Please Select
NO THANKS
1 X SNR LEVANTO PRACTICE SLICKS
2 X SNR LEVANTO PRACTICE SLICKS
3 X SNR LEVANTO PRACTICE SLICKS
32
OK 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)
33
OK WET TYRES CONFIRMATION * This field is required.YOU HAVE NOT SELECTED WET TYRES, PLEASE CONFIRM BELOW THAT YOU ARE AWARE THAT WET TYRES ARE ONLY AVAILABLE FROM REDSTAR RACEWAY
Please Select
Please Select
I CONFIRM THAT I DO NOT NEED WETS AND UNDERSTAND THAT THEY WILL NOT BE FOR SALE AT THE TRACK
34
TEAM CODEIF YOUR TEAM HAS NOT PROVIDED YOU WITH A CODE, YOU CAN SKIP THIS STEP
35
VOUCHER VALUE
36
calculation
37
PAYMENT AMOUNT
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Description
ZAR
+ OR enter a custom value
38
TERMS AND CONDITIONS* This field is required.
39
Unique ID
Should be Empty: