Landspeed Race Entry Please complete the entry form below for our Landspeed event on 21st March ’26 ……Note maximum of 45 participantsDriver DetailsPlease enter all the fields to enter the raceFirst Name *Last Name *Date of Birth *Month *Day *Year *Mobile *Email Address *Street AddressCityDo you hold a valid, full NZ drivers license? *YesNoYou will need to present your license to the officials on race day.Emergency ContactPlease provide details for the best person to contact incase of an emergencyEmergency ContactName *Mobile *Car/Bike DetailsPlease enter the details of the car/bike you will be racing withMake *Model *Year *Capacity (cc) *Is Your Bike/Car *Turbo ChargedSuperchargedNitroNaturally AspiratedI have a *BikeCarTerms of Entry and IndemnityRead through the details below to ensure you are properly equipped for the day.Do you agree to the terms of entry? *Yes, I have read and agree to the Terms of Entry and IndemnityRace RulesRead through the details below to ensure you are properly equipped for the day.Do you agree to the race rules for your car? *Yes, I have read and agree to the Race Rules For My CarDo you agree to the race rules for your bike? *Yes, I have read and agree to the Race Rules For My BikeSignatureStart signing your signature hereYour browser does not support e-Signature field.Event Participant FeeParticipant Entry Fee (includes membership fee of $100) Total Due Today: $450Credit / Debit Card *Submit and PayPlease do not fill in this field. Follow Us TikTok and Instagram
