South Island Modified Champs Online Entry Form

South Island Modified Champs Online Entry Form

Saturday February 14th, 2026

Name*

First NameLast Name
Mobile*

Area CodePhone Number
Email*
example@example.com
MyLaps Number:*
Racing Number:*
Bank Account for Prize Money
Please enter a valid bank account number.
Photo of Car

Cancelof
I {name} have read and understood all the conditions entering this event and will abide by all the Rules and Regulations that have been set out for this event
Competitor’s Signature

Clear
Date

MonthDayYear
Date

Driver Profile Form
Profile Drivers Name
Age
Number of years racing
Hometown
Contracted Track
Favourite Track
Car Details
Car Number*
Chassis*
Engine*
Class*
Racing Details
Other Classes raced
Tracks Raced at?
SNZ Titles
Other Details
Favourite Food
Favourite Music
Favourite Driver growing up
Most Respected Rival
Hobbies
Sponsors
Should be Empty: