OFFICIALS REGISTRATION FORM

Title
Surname
* Required Field
First Name
* Required Field
Contact Details:
Address
Suburb
Postcode
State
Home Phone
Mobile Phone
Email
* Required Field
Date of Birth
Under 18
Emergency Contact Person:
Name
Relationship
Home Phone
Mobile Phone
Work Phone
Other Information:
AASA Licence Number
AASA Licence Expiry Date
Previous Experience with Targa Wrest Point
2009
Shirt Size for reference only
Other Motor Sport Experience

Previous Role/s with Targa Wrest Point

Preferred Stages
1
2
3
4
Dates Available
Pre Event Sat 30 Jan
Sun 31 Jan
Roles - Stage Teams
Stage Team Spec. Marshal
Roles - Other
Wrest Point CET Lunch Breaks
Comms Timing Scrutiny
Recovery Official Finish Other
If Other - Please specify

 

 

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