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Next Gen Junior Nominations
Select Section
(Required)
Junior Sedans
This form is only intended for Junior Sedans only, if you are nominating in another section please go to the
Standard Nomination Form
.
Are you a DSRDA Member?
(Required)
Yes
No
Junior Sedans (DSRDA Member)
Price:
Junior Sedans (Non-DSRDA Member)
Price:
Competitor Information
Competitor Name
(Required)
Competitor Email
(Required)
Competitor Mobile Number
(Required)
Registered Racing Number
(Required)
Speedway Australia Licence Number
(Required)
Transponder Information
Transponder Hire
(Required)
Yes
No
$100 Hire Fee
Transponder Number
(Required)
Write HIRED if you are hiring from the track.
Transponder Hire
Price:
Transporter Information
Transporter/Trailer Length (in Metres)
(Required)
Next of Kin
Next of Kin Name
(Required)
Next of Kin Mobile Number
(Required)
Regulations
Supplementary Regulations
(Required)
Confirm
By ticking this box, I confirm that I have read and understood the
Supplementary Regulations
applicable to my nominated round and agree that they are binding and enforceable by the Chief Steward.
Total
Credit Card