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Home
About
Events
Membership
Resources
Whistleblower Policy
Constitution
Code of Conduct
General Information
Competitors
Useful Links
Gallery
Officials
Find us on Facebook
Beams Setting Instructions
Results
Magazines
Magazines: 2025 – 2030
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
Officials Registration - Hi Service Group Blackbutt Rally QRC 1
OFFICIALS DETAILS
Officials Name
*
First
Last
Officials Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Officials Email Address
*
Officials Mobile Phone Number
*
Year of Birth - required if medical assistance is required
*
Motorsport Australia Officials Licence - do you have one
*
Yes
No - An Officials On the Day Licence licence has to be completed and forwarded to Officials Co-ordinator
Officials Motorsport Australia Licence No.
Officials Motorsport Aust. Licence Expiry Date
Junior Official ( Date of birth if under 18 years)
MM slash DD slash YYYY
Officials Emergency Contact - Name and Phone No.(Someone who is not attending the event)
*
Also please advise the person you have nominated them as you emergency medical contact at the event.
BLUE CARD
Do you have a Blue Card
Yes
No
Blue Card Number
Blue Card Expiry Date
AVAILABILITY and ROLE
Availability - days you are available to officiate
*
Event Saturday - 7 March
Set Up Friday - 6 March
Pull Down Sunday - 8 March
Role (Please indicate your preference)
*
No Preference
Stage Commander
Deputy Stage Commander
Time /Start Control Official
Flying Finish Official
Stop Control Official
SOS Official
Road Closure Official
Spectator Marshall
Scrutineer
Recovery
Media (MUST have current MA Media accreditation; subject to acceptance by Clerk of Course)
Course Car
Command/Radio Base
Results
Steward
Officials Co-ordinator
Medical
Administration - Organising Team Member
Duty of Organising Team Member
Course Car Duty
Team or Other Officials you wish to be with
VEHICLE INFO
Type of Vehicle you will be attending the event in.
*
4WD
Sedan
SUV
Ute
Motorhome
Other
Travelling with some else
Radio - do you have a radio with BSCC Designated Radio Frequencies
*
Yes
No
N/a
OFFICIALS ACCOMMODATION
Free accommodation for 2 nights - Friday & Saturday - either camping or caravan site BUT only 2 nights extra nights will be at Officials expense
Camping - Blackbutt Showgrounds (Officials Free) - Which night/s will you be camping - cost additional nights $10 non-powered per night
*
Friday Night
Saturday Night
Not applicable
Caravan (powered site) - Blackbutt Showgrounds (Officials Free) - Which night/s will you require a Caravan Site - BUT please phone Showgrounds to book your site 0437 665 199 - cost for additional nghts is $25 per night
*
Friday Night
Saturday Night
Not applicable
DISCLAIMERS
Brisbane Sporting Car Club - storing of Information
*
I agree
I disagree
The information contained in the document will be compiled by the Brisbane Sporting Car Club Ltd into a database. No information will be distributed to any third party. By completing this form I give my consent to this information being stored and used by Brisbane Sporting Car Club Ltd.
Motorsport Australia Disclaimer Declaration
*
Please check this box to confirm you have visited and read the Motorsport Australia Disclaimer at https://motorsport.org.au/events/disclaimers
I agree to Terms and Conditions of the Motorsport Australia Disclaimer , COVID-19 Declaration and the Risk Warning and Assumption of Risk Declaration: I accept the conditions of, and acknowledge the risks arising from, attending or participating in Motorsport Activities being provided by Motorsport Australia and the Entities. I agree to be bound by the rules, regulations and policies of Motorsport Australia at all times as a condition of continuing to hold a licence. The information I have entered into this form is true and correct and I will advise Motorsport Australia immediately if any of the information I have given is no longer true and correct. I have read, understood, acknowledge and agree to the above including the exclusion of statutory guarantees, warning, assumption of risk, release and indemnity. Full Disclaimer is on www.motorsport.org.au
Thank you for Registering to Volunteer - Officiate at Hi Service Blackbutt Rally QRC 1
The Organisers - Hi Service Blackbutt Rally QRC 1 - Brisbane Sporting Car Club Ltd
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