Wakefield Park Raceway | V8 Supercars | Entry Form - Test & Tune/Speed Off The Streets 24 April 2019 -

Driver Details

Please select your car type*

First Name*

Last Name*

Mobile No.*

Email*

Address*

Street Address Address Line 2 City State Post Code

Emergency Contact Name*

Emergency Contact Number*

Are you a Benalla Auto Club Member?*

Yes
No

Please enter your BAC Member No.*

Do you need a AASA Circuit Annual license?*

Yes
No

Please enter your AASA or CAMS License No.

AASA or CAMS License No.*

License Expiry*

AASA Annual Licenses available for $95 from the track, on the day of event or day licences are available from the Wakefield Park website.

If you are undertaking Driver Trainer with a Wakefield Park approved licenced instructor you are required to ener the driver instructor session, this session is an additional $50*

Car Details

Year of Car*

Make*

Model*

Colour*

Capacity

Target Lap Time

Additional Driver

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

Additional Driver Name*

Does the additional driver have a AASA or CAMS licence?*

Please visit www.wakefieldpark.com.au/licences to obtain a licence.

Additional Hire

If you would like to hire a powered garage or carport for this event, please select your desired garage or carport location from the maps using the below link. Once you have selected the garage or carport you desire, please select either yes or no to a garage or carport. This will then present a list of available garages for hire. Garages hired will automatically be removed from these lists.

CLICK HERE TO VIEW GARAGE OR CARPORT POSITIONINGS »
Link will open in a new window.

Powered Garage Hire (9m x 4.5m) $85*

No - Carports available free of charge
Yes, Id like to select from PIT LANE GARAGES
Yes, Id like to select from B BLOCK GARAGES

PIT LANE GARAGES - Please select*

B BLOCK GARAGES - Please select*

Payment / Terms & 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 Wakefield Park Motorsports 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 Terms & Conditions*

I accept I/We have read the above terms and conditions.

Liability Waiver

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

Acceptance of Release and Waiver of Liability*

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

Payment

Test & Tune April 24 - Entry Fee*

Price: $ 150.00

Test & Tune April 24 - BAC Member Entry Fee*

Price: $ 140.00

Test & Tune April 24 - Driver Training*

Price: $ 50.00

Test & Tune April 24 - Powered Garage Hire*

Price: $ 85.00

Test & Tune April 24 - Additional Driver*

Price: $ 50.00

Test & Tune April 24 - Booking Fee*

Price: $ 0.00

Total

$ 0.00

Credit Card*

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name