Winton Raceway

Regional Area Test and Tune - September 26 2020

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New Applicants

ENTRANT DETAILS

Email *

First Name *

Last Name *

Mobile No. *

Street Address

Address Line 2

City

State

Post Code

Date Of Birth*

Emergency Contact Name *

Emergency Contact Number *

Are you a Benalla Auto Club Member? *

YesNo

Please enter your BAC Member No. *

Do you need a AASA Day Licence? *

YesNo

Day Licences can be purchased for $25 at the track

AASA or CAMS License No. *

License Expiry *

Car Details

Please select your car type *

Select from previous cars (optional)

Or enter a new car below

Year of Car *

Make *

Model *

Colour *

Capacity *

Target Lap Time *

Please note minimum numbers may apply

Additional

Would you like to add an additional rider? (extra $50) *

Additional Rider Name *

Licence No.

Licence Expiry

Date of birth *

Email Address *

If your additional riders do not have a current AASA or CAMS licence, please visit www.aasa.com.au to obtain one.

Additional Hire

A garage is included with this entry.

Terms & Conditions

AASA Terms and Conditions

I/We have read and understood the Supplementary Regulations issued for this Meeting and agree to be bound by them and by the National Competition Rules of the Australian Auto-Sport Alliance Pty. Ltd. (AASA). I/We also acknowledge and agree that neither Australian Auto-Sport Alliance Pty. Ltd., nor Winton Motor Raceway Pty. Ltd., nor the sponsor organisations, nor the land owners or lessees, nor the organisers of the race meeting/event, nor their respective servants, officials, representatives or agents (all of whom shall collectively be called "the Organisers"), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974. I/We acknowledge that motor sport is dangerous and accidents causing death, bodily injury, disability and property damage can, and do, happen. I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by AASA and the Associated Entities.

Acceptance of AASA Terms and Conditions *

Liability Waiver

Please click here to read the Release and Waiver of Liability Assumption of Risk and Indemnity Agreement.

Acceptance of Liability Waiver *

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

Total $224.26

Included online booking fee $4.26

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