2017 Rallysport Ontario
ORRC COMPETITOR ENTRY Form


Please select the event you intend to enter:

January Jaunt (TAC) Jan 07
Frostbite (KWRC) Jan 28
Polar Bear(MLRC) Feb 18/19
Spring Run Off (PMSC) Apr 29
Blossom Rally (KWRC) May 20
Discover Ontario Car Rally (TAC) June 17
No Winter Maintenance Rally (SPDA) Sep 30
Presidents Prize Rally (PMSC) Nov 11

 


Class:

Expert     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 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: