Entry Portal

25th Anniversary of the Ken Leigh HQ 4 Hour “Remembering our mate Ken”

Online Entry Form

05th December, 2025 - 07th December, 2025

Winton Motor Raceway

Entrant Details

First Name

Last Name

Phone Number

Street Address

Suburb

State

Postcode

Date of birth

Emergency Contact Name

Emergency Contact Number

Motorsport Licence Number

Motorsport Licence Expiry

Category Entry

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25th Anniversary of the Ken Leigh HQ 4 Hour

Sponsor

Car Details

Make

Model

Year of Car

Colour

Capacity

Logbook Number

1st Preferred Number

2nd Preferred Number

Do you need to Hire a Dorian device

Yes - $66No

What is your Dorian Number

Additional Drivers

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Additional Driver

First Name

Last Name

Phone Number

Street Address

Suburb

State

Postcode

Date of Birth

Emergency Contact Name

Emergency Contact Number

AASA National Race Licence

If you do not hold a AASA National Race Licence you will need to hold a Licence equivalent from another sanctioning body and will need to purchase a AASA Race Bridging licence
Click here to purchase a AASA Race Bridging Licence.

ASA National Race Licence Expiry

Additional Driver

First Name

Last Name

Phone Number

Street Address

Suburb

State

Postcode

Date of Birth

Emergency Contact Name

Emergency Contact Number

AASA National Race Licence

ASA National Race Licence Expiry

Additional Driver

First Name

Last Name

Phone Number

Street Address

Suburb

State

Postcode

Date of Birth

Emergency Contact Name

Emergency Contact Number

AASA National Race Licence

ASA National Race Licence Expiry

Additional Driver

First Name

Last Name

Phone Number

Street Address

Suburb

State

Postcode

Date of Birth

Emergency Contact Name

Emergency Contact Number

AASA National Race Licence

ASA National Race Licence Expiry

Terms & Conditions

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Liability Waiver

Please click here to read the release and Waiver of Liability Assumption of Risk and Indemnity Aggrement.

I Accept I/We have read the release and Waiver of Liability found at the link above. (https://aasa.com.au/liability-waiver)

Refund Policy

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Coupon / Discount Code

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Discount : $0.00

Payment

$0.00Inc GST