2016 Rallysport Ontario
ORRC COMPETITOR ENTRY Form


Please select the event you intend to enter:

Frostbite (KWRC) Jan 30
Polar Bear(MLRC) Feb 20/21
Spring Run Off (PMSC) Apr 23
Blossom Rally (KWRC) May 14
Discover Ontario Car Rally (TAC) June 18
No Winter Maintenance Rally (SPDA) Oct 1
Northern Lights Rally (KWRC) Dec 3

 


Class:

Expert     Intermediate     Novice     Touring    

By checking this box, I agree to pay the organizing club for my entry, and to fill out all required paperwork and waivers at the event registration. I also acknowledge that this form is not necesarily secure, and will only fill in information that I feel comfortable doing.


Name/Nom:
Address/Adresse:
City/Ville:
Prov./State:
Code:
Phone/Tel:
Club:
email:

Navigator:

Name/Nom:
Address/Adresse:
City/Ville:
Prov./State:
Code:
Phone/Tel:
Club:
Email:

Driver Emergency Contact:

Name/Nom:
Address/Adresse:
City/Ville:
Prov./State:
Code:
Phone/Tel:

Navigator Emergency Contact:

Name/Nom:
Address/Adresse:
City/Ville:
Prov./State:
Code:
Phone/Tel:

The vehicle is owned by:

Driver Navigator The following person:

Vehicle Owner:

Name/Nom:
Address/Adresse:
City/Ville:
Prov./State:
Code:
Phone/Tel:
Club:
Email:

Vehicle/Vehicules:

Year/Annee:
Make/Fabricant:
Model/Modele:
Colour/Couleur:
Prov/State: