Team Registration Form

Team Registration Form

Wanneroo 7 hour - 23rd May 2026
Team Name*
Team Captain information
Yes, I will be the main point of contact
Full Name*

First NameLast Name
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 0000 000 000.
Suburb*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Vehicle details
Vehicle Make*
Vehicle Model*
Vehicle Year*
Vehicle Colour*
Nugget Class (factory power of 129 kW and under)Banger Class (factory power between 130kW and 225kW)Invitational Class (factory power of 226kW+ OR 3/3 Modification points)
Your Licence Details

(When all of your drivers have their AASA licences ready, please fill out the team nomination form which will be emailed to you after payment is received, this is due a minimum 3 weeks prior to the event)
AASA Licence number
AASA Expiry Date
dd/mm/yyyy
General SpeedNational Race Licence
Once you submit this form, we will email you an invoice for payment.

For your entry to be accepted we must receive the team entry fee in full.

You will then receive a TEAM NOMINATION FORM to be filled out once your entry has been accepted. The details (including valid AASA licences) of your team members will be due 3 weeks before the event, however sooner the better!
Agreed
Agreed
Should be Empty:

Team Captain information