WMCC MX 2018 Round 6 Registration
Sunday 9th September 2018
Mount Kembla Dirtbike Complex
340 Harry Graham Drive Kembla Heights NSW 2526
admin@wollongongmotorcycleclub.com
(02) 4271 8336
Online entries close at 6:00pm on the Wednesday before Race Day
Email address *
ONE PERSON PER FORM
A separate form must be used for and paid for by each person entering the event.
All monies owed must be paid via the link in your Confirmation Document before 6:00pm on the Wednesday before Race Day. If not paid in time, your entry will be voided and you will have to repeat the process on Race Day.
Family Name *
Your answer
Given Names *
Your answer
Date of Birth *
MM
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DD
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YYYY
Contact Telephone Number *
Mobile preferred
Your answer
WMCC Membership Number
Leave empty if not a current financial member
Your answer
WMCC Membership Expiry Date
Leave empty if not a current financial member
MM
/
DD
/
YYYY
MA Race Licence Number
Leave empty if you are over 18 years old and requiring a one-event licence
Your answer
MA Licence Expiry Date
Leave empty if you don't have an MA Race Licence
MM
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DD
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YYYY
Marshal Name and Phone Number *
Your answer
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