Nominations

NAME (required)

EMAIL (required for confirmation email)

PHONE (required)

CLUB (required)
Please selectAdelaideAlice SpringsAngasBlanchetownBusseltonDesert DirtDirt TrackersGreat SouthernJennaLoxtonLucindaleMorganPort PirieRenmarkTatiaraWeipaYorke Peninsula

Kart Number (required)

Licence Number (required)

CLASS 1 (required)
Please selectMidgetRookieJnr LightJnr HeavyKT LightKT MediumKT HeavyKT LadiesStatesmanKT Twin125 Light125 HeavyOutlaw100 Open200 Open

Only select class 2 or class 3 if you are entering more than one division

CLASS 2
N/AKT LightKT MediumKT HeavyKT LadiesStatesmanKT Twin125 Light125 HeavyOutlaw100 Open200 Open

CLASS 3
N/AKT LightKT MediumKT HeavyKT LadiesStatesmanKT Twin125 Light125 HeavyOutlaw100 Open200 Open

ENTRY (required)
NormalRear of FieldProbationary

RACE DATE