ASDRA INC Practice Day Nomination

ASDRA INC Practice Day Nomination

Please fill out your nomination details.
Corrigin Motorsport

President: Rob Archibald Vice President: Des Alfirevich

Treasurer: Julie Archibald Secretary: Erin Warwick

Committee: Trevor Bell, Brett Schofield, Jack Alfirevich

Email: corriginmotorsportadmin@gmail.com
All competitors who wish to race at Rod Slater Raceway, Corrigin are required to hold a valid Speedway licence for the category they will compete in.

Practice day is free for drivers.Juniors must have a parent or guardian present
Events
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Speedway Licence Number
Speedway Licence Expiry Date
Division
Drivers Car Number
Please upload a copy of your licence

Cancelof
Parent Agreement for Junior Drivers

I am the responsible person for the nominated Junior on race day. (Pit Crew Early Entry Fee for at least one Adult must be purchased at time of nomination)
Parent Name
Parent Speedway Licence Number
Parent Speedway Licence Expiry Date
Please upload a copy of your parent licence

Cancelof
Practice Days are currently free for drivers.

However donations are welcome as they help cover insurance expenses we incur for practice day.

Any donations are greatly appreciated.

Donation

Donations are welcome and help support our club.

$5.00 AUD Donation Option

Total

Parent Agreement for Junior Drivers