2023 Walky 100 Officials Registration
Eudunda Oval, Saturday 12th August 2023
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Email *
CONTACT DETAILS
First Name *
Last Name *
Date of Birth *
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Address
Suburb *
State *
Postcode *
Mobile No. *
Emergency Contact Name *
Emergency Contact No. *
OFFICIALS LICENSE & EXPERIENCE
Motorsport Australia License No.
Motorsport Australia License Level
Have you officiated at the Walky100 rally before? *
Do you have a SAPOL Road Marshall accreditation? *
Do you have Work Zone Traffic Management qualifications? *
Previous rally Official experience *
EVENT INFORMATION
Please advise if there is a specific stage you would like to work on.
Please advise if there is a specific stage team you would like to be part of.
Please advise if there are any specific people you would like to work with.
Will you have your own transport available at Eudunda? If travelling in the same vehicle as someone else, please indicate in the 'other' field. *
When will you be available at Eudunda? *
Required
Are there any medical details we need to know about? *
If you are representing a competitor, please enter their name below.
Is it OK to add your details to the SA Rally Officials database? *
Required
A copy of your responses will be emailed to the address you provided.
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