Registration and Indemnity Form NEXT EVENT 5th Feb Sunday 2023 The participant entry is open for up to 40 entrants, of cars and motorbikes. NOTE: You also need to be a member of LSNZ to participate Please use the below form to register your details Terms of entry can be found here – Cars | Bikes Section 1 - Rider/Driver DetailsFull Name *Date of BirthDrivers License NoAddress *PhoneMobile *Email AddressSection 2 - Emergency Contact DetailsPrimary - Name *Relationship *Phone *Secondary - NameRelationshipPhoneSection 3 - Vehicle DetailsMake and Model *Capacity (cc)YearVehicle Type *CarBikeOtherYou understand that the rider must have a separate back protector, full/zipped leather, approved helmet, gloves and boots. *YesYou understand that the driver must have approved helmet, gloves and shoes. Driver must also have a minimum TWO layer flame retardant race suit, race underwear and a balaclava. *YesConsent *Yes, I agree with the terms and conditions.Consent *Yes, I agree with the terms and conditions.RegisterPlease do not fill in this field.