Ledwidge Lookoff Rally 2025
For competitor registration for the Trout Lake Rally to be held on May 17th and 18th, 2025, at Tennycape, Nova Scotia. 
Please also ensure that you sign the electronic waiver at: https://bluenoseasc.speedwaiver.com/vbdye
Payment should be etransferred to treasurer@bluenoseautosport.ca  Ensure that you enter the names of the event, driver and co-driver in the payment notes field. Use password BAC2025
    Rally:
       Early Registration: (Before April 15th)          $500 CDN
       Regular Registration:                                       $550 CDN
       Late Registration: (After May 1st)                 $600 CDN 
Sign in to Google to save your progress. Learn more
Class *
Team Name
Car Number *
We recommend the use of your permanent CARS number, but this is not mandatory.
Driver Name *
Driver Address *
Driver Phone Number *
Do you permit BAC to use this phone number for text message communications during the days of the event? *
Driver email
If entered, bulletins and updates about the event will be sent to this email address leading up to the event.
Driver Club Membership
Clear selection
Drivers License
Include License # and province/country
Driver Competition License *
Include License # and Organization
Co-driver Name *
Co-driver Address *
Co-driver Phone Number *
Do you permit BAC to use this phone number for text message communications during the days of the event?
 *
Co-driver Email
If entered, bulletins and updates about the event will be sent to this email address leading up to the event.
Club Membership
Clear selection
Co-driver License
Include License # and province/country
Co-driver Competition License *
Include License # and Organization
Vehicle Make *
Vehicle Year *
Vehicle Model *
Vehicle Colour *
License Plate
Include Tag Number and Province/Country
Crew Member Names
All crew members must sign the electronic waiver.
Service Area Paddock Dimensions required
Specify the total size that will contain all the vehicles (cars and trailers) that you need to have in your paddock spot. eg:  10' x 30' or 300 sq ft.  If you do not provide this information, you will be assigned a 300 sq ft spot and any equipment that does not fit will have to be parked in another spot.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Bluenose AutoSport Club.

Does this form look suspicious? Report

Google Forms