Race Entry & Tyre Orders

Dieci Enduro Cup Round One – Eastern Creek 8 Hour – 11/3/18

Race Entry

Team Name
Kart Number (required)
Transponder Number (required)
Email (required)
Phone Number (required)

Drivers under the age of 18 must enter their participants licence number below. If the driver is over the age of 18 leave this section blank. If your guardian holds a Karting Australia Licence enter this licence number in the box. If your guardian does not have a KA Licence visit www.karting.net.au and have them apply for a free Participants Licence.

DRIVER 1

First Name (required)
Last Name(required)
KA Licence Number (required)
Participant Licence Number if under 18

DRIVER 2

First Name (required)
Last Name(required)
KA Licence Number (required)
Participant Licence Number if under 18

DRIVER 3

First Name
Last Name
KA Licence Number
Participant Licence Number if under 18

DRIVER 4

First Name
Last Name
KA Licence Number
Participant Licence Number if under 18
Extra Comments

THE MINIMUM DRIVERS PER TEAM FOR THIS 8 HOUR EVENT IS THREE DRIVERS.

RACE ENTRY FOR THIS ENDURANCE EVENT IS $450.00 PER TEAM PLUS $25.00 PER DRIVER.
(THREE DRIVER TEAM $525.00 FOUR DRIVER TEAM $550.00 etc)

CONDITIONS OF ENTRY- I/We, the undersigned, acknowledge that this meeting is conducted in accordance with the General Kart Regulations of the AKA, the General Standing Regulations, the Australian Kart Formula and the Supplementary Regulations issued for this meeting and agree to abide by them. I/We certify that the particulars supplied on this entry form are true and correct in every particular.. I/We also understand and accept that submission of this entry form constitutes an agreement with the organisers to take part in this competition. I also acknowledge and agree to accept as a condition of entry that the AKA, the State Karting Council nor the organisers of the meeting or event, nor their respective servants, officials, representatives, or agents shall be under any liability whatsoever for any death or bodily injury, loss or damage which may be sustained or incurred as a result of my participation in the race meeting or event, howsoever such death or bodily injury, loss or damage is caused, whether by negligence or otherwise.

Payment Information

All payments must be made by Direct Deposit to the following ANZ account.

SKA of New South Wales Inc. | BSB: 012484 | Acc: 211966323

Tyre Order

SLICKS

WETS