Northern Lights 2020 Entry Form
In an effort to make the rally as contactless as possible we'd like you to fill out this form before coming to the rally.
Please fill out the information below. We've simplified the form so we only capture names and addresses. We are not asking for drivers licence, ownership or insurance information but you may need to show you have this at the start of the rally.
Class? *
Driver name: *
Driver street address *
Driver city & province *
Driver postal code *
Driver Club
Driver email address *
Navigator name *
Navigator street address *
Navigator city & province *
Navigator postal code
Navigator Club
Navigator email address. *
Driver Emergency Contact Name
Driver Emergency Contact Phone
Navigator Emergency Contact Name
Navigator Emergency Contact Phone
The vehicle is owned by:
Vehicle owner (if not Driver or Navigator)
Vehicle year
Vehicle make
Vehicle model & colour
Vehicle Province/State of registration
Self Declarations for the driver *
Self Declarations for the navigator *
Others in the car, if any *
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