PMSC 2023 Presidents Prize Car Rally Entry Form
This is the entry form or a navigational rally on October 21, 2023.
In an effort to make the rally as contactless as possible we'd like you to fill out this entry form before coming to the rally. We've simplified the form so we only capture names and addresses. We are not asking for driver's licence, ownership  or insurance information but you must complete the self declaration stating they are valid. We will ask you to show them at the event.
The entry fee is $40.00 for the rally ($30 for PMSC members). You can send an Interac transfer to treasurer@pmsc.on.ca to submit your payment. Please include "Presidents Prize" and the driver's name in the message for the payment. If you can't attend you will get a full refund.
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How did you hear about this event? *
Class *
Driver name *
Driver street address *
Driver city & province *
Driver postal code *
Driver Club *
Driver Mobile Phone *
Driver email address *
Driver Emergency Contact Name *
Driver Emergency Contact Phone *
Driver self-declaration *
The electronic waiver can be found here: https://pmsc.speedwaiver.com/lwief
Required
Navigator  name *
Navigator street address *
Navigator city & province *
Navigator postal code *
Navigator Club *
Navigator Mobile Phone *
Navigator email address *
Navigator Emergency Contact Name *
Navigator Emergency Contact Phone *
Navigator self-declaration *
The electronic waiver can be found here: https://pmsc.speedwaiver.com/lwief
Required
The vehicle is owned by: *
Vehicle owner (if not Driver or Navigator)
Vehicle year
Vehicle make
Vehicle model
Vehicle colour
Vehicle Province/State of registration
Entry fee *
Entry fees may be paid by Interac transfer to treasurer@pmsc.on.ca
Required
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