ONLINE ENTRY FORM

BALLARAT KART CLUB 19th SEPTEMBER 2010

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Please complete all details below including your email address

Driver Name

Email:

Telephone (Day)

Telephone (AH)


 
AKA Licence Number

Licence Grade

Kart Number

Kart Club

Sponsors

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Classes

Midgets
Rookies
Junior National Light
Junior National Heavy
Junior Clubman
Junior Performance
Senior National Light
Senior National Pro
Clubman Light
Clubman Heavy
Clubman Super Heavy
Clubman Over 40
Rotax Heavy
Leopard Light (RL or X30)
Leopard Heavy (RL or X30)
Restricted 125cc

 

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