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Kananaskis Rally Competitor Signup
Online Entry Form
If you bookmark this page (with the token) you will be able to update your entry at a later date.
Team Name
Driver Information
Driver First Name
First
Driver Last Name
Last
Driver Cell Phone
Driver Email Address
Driver Competition License Number
Driver Competition License Type
CARS Regional
CARS National
Rally America
NASA
FIA
Other
Driver Status
Novice
Expert
Driver Address
City
Prov/State
Driver Driver's License Number
Driver Club
Driver Emergency Information
Please give us your current emergency contact information and any critical allergies or medical needs our event medics should be aware of. This information is designed to help you and allow us to contact your family in the event you are incapacitated.
Co-Driver Information
Co-Driver First Name
TBD if unknown.
Co-Driver Last Name
Co-Driver Cell Phone
Co-Driver Email Address
Co-Driver Competition License Number
Co-Driver Competition License Type
CARS Regional
CARS National
Rally America
NASA
FIA
Other
Co-Driver Status
Novice
Expert
Co-Driver Address
City
Prov/State
Co-Driver Driver's License Number
Co-Driver Club
Co-Driver Emergency Information
Please give us your current emergency contact information and any critical allergies or medical needs our event medics should be aware of. This information is designed to help you and allow us to contact your family in the event you are incapacitated.
Event Email Notifications
We already send notifications to the Driver and Co-Driver but if you have any other Team Members that need to receive Event Notifications enter them below:
Addiitonal Event Notification Email
An address that will receive event notifications in addition to the driver/co-driver. For Team Manager etc.
Addiitonal Event Notification Email
Another address that will receive event notifications in addition to the driver/co-driver.
Entry Information
Car Class
O4WD
O2WD
P4WD
P2WD
Gr2
Gr5
Rally Car Year
TBD if unknown.
Rally Car Make
Rally Car Model
Rally Car Colour
Rally Car License Plate
Rally Car Insurance Company/Policy Number
Do you intend to do recce?
Yes
No
Will you be writing your own notes?
Yes
No
Will you be using your Rally Car on recce?
Yes
No
Maybe
Provide details.
Using a Rally Car on recce means double the penalties.
I understand my recce fines will be doubled if I use rally car.
Recce Car Make
Recce Car Model
Recce Car Colour
Recce Car License Plate
Service Park Logistics
Please provide is with a basic description of your service rig and space needs. Note that our ‘standard’ Service Spots will be approximately 18′ x 36′, roughly the size of a square block of 4 standard parking stalls (2×2). Teams who can not fit in this space will be asked to either leave their truck or trailer outside of the service park before any other accommodations will be made. Requests for larger service spots should be detailed below. If you are servicing for other teams, please make note of that in the comments.
How many people from your team will be attending the Award BBQ?
2
none
1
3
4
5
6
7
8
9
10+
Please advise us of any dietary or allergy concerns for the BBQ.
Do you require additional BBQ tickets ($25 each)
No
1
2
3
4
5
6
7
8
9
10+
Method of Payment
Interac e-Transfer
Cash
Other
Any other concerns or comments?.
If you bookmark this page (with the token) you will be able to update your entry at a later date.