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NAPA JUNIOR CUP REGISTRATON FORM

Contact Details

Client NameABNContact First NameContact Last NameStreet AddressCity/SuburbPostcodeStateCountryEmailMobile

Driver Details

Driver NameDriver MobileDriver EmailSpeedway Australia License NumberCar No. / State PrefixCountry

Team Details

Team NameTeam EmailTeam Representative NameTeam Representative Phone

Crew Details

Please provide the names of your pit crew, noting the first three (3) are included in your entry fee.

Crew Member #1Crew Member #2Crew Member #3

Optional Additional Crew

You will need to purchase a bp Adelaide Grand Final entry ticket for Crew Members 4 & 5 if they are required. However, Pit Paddock passes will be provided at no charge for these.

Crew Member #4Crew Member #5

Emergency Details

Emergency Contact NameEmergency Contact Phone

Dimensions

What is the size of the transporter/trailer being used with the tailgate down:

LengthmWidthmHeightm

Event Logistics

As noted in the Supplementary Regulations, Junior competitors are automatically noted as only attending Saturday & Sunday.

Promotional Material

Please upload (or include as an attachment to email) a photo of the driver and their car.

Driver Photo

Please upload (or include as an attachment to email) a 30 second video of the car in action.

Car Video

Please keep the combined upload size below 80 MB.

The above will be used in the announcement of the NAPA Speedway event program and competitors via the event website and social media. All relevant details will be shared with competitors prior to release.

Confidentiality

Driver nominations are to remain CONFIDENTIAL until the event has announced. Details regarding announcement timelines and provision of creative assets for Drivers to utilise will be provided in due course.

Prize Money

There is no prize money associated with the NAPA Speedway Junior Cup Invitational, however alternate prizes may be allocated i.e. product vouchers.

Declaration

By signing and submitting this form you hereby agree to abide by the following:

The racing rules and regulations of the Speedway Australia and your relevant speedway category
Licencing requirements of Speedway Australia
NAPA Speedway Junior Cup Invitational Supplementary Regulations
Terms and Condition of Entry for the bp Adelaide Grand Final
And pay the required non-refundable nomination fee (you will be redirected to the payment portal upon submission of this form)

You also acknowledge that this nomination will be considered incomplete until the required fee has been received in full by the event organisers.

I have read, understand, and agree to the terms outlined aboveDriver Signature:

Type your full legal name to serve as your electronic signature.

Date:Parent / Guardian Signature: