Sydney Motorsport 102 Course Registration

Motorsport 102 Registration Form

Location: Pheasant Wood Circuit, 8 Prairie Oak Rd, Marulan

Date: Saturday 20 February 2021

Cost: $495.00

Step 1 – Registration

Please complete this form to register for our Race Chix Race School Motorsport 102 Course on Saturday 20 February 2021

Name *

First

Last

Email *

Confirm Email *

Mobile *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Date of Birth *

Vehicle Make, Model and Year *

Any modifications to your car? *

Do you have any track / motorsport experience? *

Have you had any previous driver training? *

Do you have a current (at the time of the course) Motorsport Australia or AASA licence? *

Are you a member of any car clubs? *

How did you hear about Race Chix Race School? *

Name *

First

Last

Phone *

Relationship *

T-Shirt Size (the course includes a Race Chix Race School tee) *

Any comments or questions about the course?

Step 2 – Payment

Please note registration isn’t complete until payment has been received.