Rallysport Ontario

2010 Rallysport Ontario ORRC COMPETITOR ENTRY Form

Please select the event you intend to enter:

Spring Run Off PMSC Apr 17
January Jaunt TAC Jan 16 Maple Leaf Winter Rally MLRC Feb 20-21
Blossom Rally KWRC May 8 Discover Ontario Car Rally TAC Jun 5 Infinite Monkeys Rally TAC Aug 14
Presidents Prize Rally PMSC Oct 23 Open Road Rally MCO Nov 6 First Frost Rally SPDA Dec 4

Class:

Expert     Intermediate     Novice    

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 acknoledge that this form is not necesarrily secure, and will only fill in information that I feel comfortable doing.

Driver:

Name/Nom:
Address/Adresse: 
City/Ville:  
Prov./State:  
Code:   
Phone/Tel:   
Club:           
email:      
Driver's licence no./No de permis de conduire: 

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:
Licence plate no./No d'immatriculation:
Prov/State: 
Insurance Co./Cie d'assurance:
Policy No./No de police: