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Home
About
Events
Membership
Resources
Competitors
BSCC Club Shirt Order Form
Gallery
Officials
Motorsport Australia
Useful Links
Find us on Facebook
Constitution
Beams Setting Instructions
Results
Magazines
Magazines: 2020 – 2024
Magazines: 2015 – 2019
Magazines: 2010 – 2014
Magazines: 2000 – 2009
Magazines: 1990 – 1999
Magazines: 1980 – 1989
Magazines: 1970 – 1979
Magazines: 1960 – 1969
Contact
Brisbane Sporting Car Club - Oakview Khanacross & Xmas Party
Entry Form - Oakview Khanacross & Xmas Party
“Held under the FIA International Sporting Code including Appendices and the National Competition Rules of Motorsport Australia.”
DRIVER 1 / COMPETITOR (Vehicle Owner)
*
First
Last
DRIVER 1 - If not Vehicle Owner
First
Last
DRIVER 1 Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
DRIVER 1 Email Address
*
DRIVER 1 Mobile Phone Number
*
DRIVER 1 - Do you have a Motorsport Australian Speed Licence
Yes
No - Apply for One Time Introductory Licence - cost $30 from Motorsport Australia
DRIVER 1 Motorsport Australia Speed Licence No & Expiry Date
*
DRIVER 1 Year of Birth (if Medical Assistance is Required eg Ambulance)
DRIVER 1
*
DRIVER 1 - Member of a Motorsport Affiliated Car Club (Entry Fee $50)
DRIVER 1 - Not a member of a Motorsport Affiliated Car Club (Entry Fee $60)
Junior DRIVER - Member of a Motorsport Affiliated Car Club (Entry Fee $30)
Junior DRIVER - Not a member of a Motorsport Affiliated Car Club (Entry Fee $40)
DRIVER 1 Emergency Contact - Name and Phone No. ( Not your Navigator - preferably someone not attending the event)
*
Please inform your nominated emergency contact that you have nominated them as your emergency contact
COMPETITOR DETAILS - Vehicle Owner (If Vehicle Driven by someone else) Name,Mobile and Email address
Will Entered Vehicle be driven by more than One Driver
*
No
Yes - Additional Drivers to pay another entry fee
Additional DRIVER - Name
First
Last
Additional DRIVER - Address
Additional DRIVER - Email Address
Additional DRIVER - Mobile Phone Number
Additional DRIVER - Do you have a Motorsport Australian Speed Licence
Yes
No - Apply for One Time Introductory Licence - cost $30 from Motorsport Australia
Additional DRIVER - Motorsport Australia Licence Number & Expiry Date
Additional DRIVER Year of Birth (if Medical Assistance is Required eg Ambulance)
Additional DRIVER - Emergency Contact - Name & Phone No. ( Preferably someone not attending the event)
Please inform your nominated emergency contact that you have nominated them as your emergency contact
Additional DRIVER
Additional DRIVER member of a Motorsport Affiliated Car Club(Entry Fee $50)
Additional DRIVER - Non Member of a Motorsport Affiliated Car Club (Entry Fee $60)
Junior Additional DRIVER - member of a Motorsport Affiliated Car Club (Entry Fee $30)
Junior Additional DRIVER - non- member of a Motorsport Affiliated Car Club (Entry Fee $40)
COMPETITOR'S Disclaimer
To View Disclaimer, Exclusion of Liability, Release and Assumption of Risk. Competitor and Competing Crew and or Service Crew in Rallies - go to: www.motorsport.org.au
DISCLAIMER to be signed and returned electronically
*
We agree to Read and Sign Disclaimer
Disclaimer will be emailed to you for signing by Driver, Co-Driver & Service Crew and must be returned electronically to Secretary
DESCRIPTION OF COMPETITIVE VEHICLE
Vehicle Year
*
Vehicle Make and Model
*
Vehicle Base Colour
*
QLD 3rd PARTY INSURANCE COMPANY (Name of Insurer)
*
SCRUTINY
All vehicles will be subject to a comprehensive safety audit on the morning of the 7 th December before commencing the first run.
Documentation
DOCUMENTATION - as per Supplementary Regulations
*
I Agree to forward All Documentation, Vehicle Self Statement of Compliance and Disclaimer - Electronically to Event Secretary. j.foster@bscc.asn.au
All Documtation,.Vehicle Self Statement of Compliance and Disclaimer
Service Crew - Name
First
Last
Service Crew - Email
Service Crew - Mobile No
BBQ Xmas Dinner (Saturday Night\) Attendance - will you be attending (require for catering requirements\) Please advise number in your group
*
Yes
No
Number Attending Xmas Party
*
TAX INVOICE - The BSCC Oakview Khanacross & Xmas Partye - Brisbane Sporting Car Club Ltd ABN: 18 010 180 266
Date
*
DD slash MM slash YYYY
Tax Invoice to:
*
Entry Fee Paid By:
*
Direct Deposit (EFT)
Credit Card
Entry Fee
Entry Fee - Direct Deposit - Only 2 drivers per vehicle
$ 50.00 Driver Member of MA affiliated Car Club
$ 50.00 Driver 2 Driver Member of MA affiliated Car Club
$ 60.00 Driver - Non-member of MA Affiliated Car Club
$ 60.00 Driver 2 Non Member of MA affiliated Car Club
$ 30.00 Junior Driver - member of MA affiliated Car Club
$ 30.00 Junior Additional member of MA affiliated Car Club
$ 40.00 Junior Driver Non-Member of a Motorsport affiliated Car Club
$ 40.00 Junior Additional Driver Non-Member of MA affiliated Car Club
Entry Fee - Credit Card - Only 2 drivers per vehicle
$ 51.25 Driver Member of MA affiliated Car Club
$ 51.25 Driver 2 Driver Member of MA affiliated Car Club
$ 61.50 Driver - Non-member of MA Affiliated Car Club
$ 61.50 Driver 2 Non Member of MA affiliated Car Club
$ 30.75 Junior Driver - member of MA affiliated Car Club
$ 30.75Junior Additional member of MA affiliated Car Club
$ 41.00 Junior Driver Non-Member of a Motorsport affiliated Car Club
$ 41.00 Junior Additional Driver Non-Member of MA affiliated Car Club
Total
$ 0.00
Copy of Entry Fee Payment Receipt
*
Max. file size: 128 MB.
Credit Card
Upload multiple documents,
Drop files here or
Select files
Max. file size: 128 MB.
Email Address - copy of Entry Form to go to:
*
Please check your entry form before submission - if happy - hit the submit button
Thank you for your Entry The Organisers The BSCC Test & Tune Brisbane Sporting Car Club Ltd
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