Rallysport Association

Dual Driver Online Entry Form

Please ensure all details have been entered correctly before pressing the continue button. You will then be directed to our secure online server which will collect all address and payment details. Online entries will only be accepted when accompanied by a payment of entry fee in full and received on our system one full week before the event date.

Please provide the following competitor information:

First Name  
Last Name  

Registered for 2009/2010 Winter series?        Yes

          Race Number (if you have one)

           Name of Parent or Guardian (if under 18)  

Competitor, or Parent/Guardian if Competitor is under 18, must select "yes" themselves to confirm they agree with the terms of the declaration.

I Agree                       

Please provide the following second competitor information:

           First Name        

            Last Name     

            Registered for 2009/2010 Winter series?        Yes

            Race Number (if you have one)

            Name of Parent or Guardian (if under 18)  

Competitor, or their Parent/Guardian if Competitor is under 18, must select "yes" themselves to confirm they agree with the terms of the declaration.

I Agree                       

Please provide the following vehicle information:

Make
Model
C.C
8/16v (RWD ONLY)
Class Entered

Please enter the Name on the card being used for payment:

        Full Name                     

  Contact Phone Number     

Select which round you wish to enter: (You can now use your Ctrl key while clicking to select more than one item in this section)

 

Clicking submit will direct you to our Declaration Confirmation page.

Copyright © 2007 [The Rallysport Association]. All rights reserved.
Revised: 07/29/10