Official Entry Form

MSA PERMIT NO: 15703

Held under the General Competition rules and Standing Supplementary regulations of Motorsport South Africa and these Supplementary Regulations.

Download Permit

Download Practice Day Program

Download Race Day Program

Category Details

Racing No*:

Racing Class*:

Race Category*:

[group modified-saloons-category-selected]
Modified Saloons:

[/group]

[group sport-gt-category-selected]
Sport & GT:

[/group]

[group coastal-challenge-category-selected]
Costal Challenge:

[/group]

[group historics-category-selected]
Historics:

[/group]

[group motorcycles-a-category-selected]
Motorcycles A:

[/group]

[group motorcycles-b-category-selected]
Motorcycles B:

[/group]

[group border-regional-category-selected]
Border Regional Historic:

[/group]

Racing Class Extra Category (Optional):

[group modified-saloons-category-extra-selected]
Modified Saloons:

[/group]

[group sport-gt-category-extra-selected]
Sport & GT:

[/group]

[group coastal-challenge-category-extra-selected]
Costal Challenge:

[/group]

[group historics-category-extra-selected]
Historics:

[/group]

[group motorcycles-a-category-extra-selected]
Motorcycles A:

[/group]

[group motorcycles-b-category-extra-selected]
Motorcycles B:

[/group]

[group border-regional-category-extra-selected]
Border Regional Historic:

[/group]

Driver/Rider (Name and Surname)*:

MSA License No*:

Postal Address:

Telephone No:

Facsimile No:

Cell No:

E-Mail Address:

Entrant/Sponsor Details

Entrant/Sponsor:

License No:

Telephone No:

Vehicle Details

Vehicle Make:

Vehicle Type/Model:

Vehicle Make/Type*:

Capacity:

No. of Cylinders:

DECLARATION/UNDERTAKING TO BE SIGNED BY EVERY DRIVER/ENTRANT:
I/We have read and understood GCR’s 93, 94.113, 121 and 122 agreement to abide by these Rules by signing this entry form.

Driver:

Entrant:

Guardian: I being the lawful parent/ guardian of the above mentioned competitor do hereby grant permission for him/her to drive/ride in the above- mentioned event.