Pre-registration
Event Registration for 2018 NBSCC Autoslalom
Select Event *
Competitor Information
First Name *
Your answer
Last Name *
Your answer
Address (Street, City, Prov, Postal Code) *
Your answer
Phone *
Your answer
Email Address *
Your answer
Drive's License *
Your answer
Club Affiliation *
Vehicle Information
Car Class (FWD / RWD / AWD / Modified)
Your answer
Car Year/Make/Model *
Your answer
Car # (top 3 choices)
If you would like to reserve a car number, please indicate it here. Numbers will be reserved on a 1st come basis, so also specify a 2nd or 3rd choice
Your answer
Sponsor / Team Name
Your answer
Co-Drivers Name
Please also submit a seperate registration for a co-driver
Your answer
Co-Drivers Number
Your answer
Emergency Contact Info
Contact Name
Your answer
Relationship
Your answer
At Event Site?
Phone
Your answer
Fine Print
Online registration will close two days prior to the event, after which you will have to register at the event. As events can fill up quickly, you are strongly encouraged to pre-register.

All drivers must bring to registration: current valid drivers license and club membership card. Entrants, who are not a member of an ASN Canada FIA affiliated club, or a member of the SCCA, or CMC, can purchase a membership to the club of their choosing the day of the event. Note that novice drivers that have never competed in an Autoslalom event before will receive their 1st time NBSCC membership at a 50% discount.

Minors: A minor release form (please obtain the proper form from you local region) and a notarized permission letter from the car owner must be presented at check-in.

BY SUBMITTING THE ENTRY FORM YOU ARE INDICATING THAT YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS:

I agree to compete under the current ASN Canada FIA AutoSlalom regulations and the supplementary regulations pertaining to this event. I further affirm that the car I have entered complies with all requirements for the class and category in which it is listed above. The entrant agrees to ensure that they, the driver, the owner, and all crew members understand and sign the waiver for this event. This entry is not valid unless the RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, ASN CANADA FIA form for this event has been signed by all registered herein (entrant, driver, owner, and all crew members).

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