2019 George Derrick entry form - VCRS
Held under the provisions of the International Sporting Code of the FIA and the National Competition Rules of CAMS
Please complete the online entry form, once submitted a pdf Risk Warning, Disclaimer and Indemnity form will be sent by email to be signed and returned either via email or at documentation
Last Name (Competitor)
First Name (Competitor)
Is Competitor the Owner of the Vehicle?
If answer is "No", select "Other" and add owners name in text field
Postal Address (Competitor)
Street, Suburb, State, Post Code
CAMS Licence Number (Competitor)
CAMS Licence Expiry (Competitor)
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