Junior Registration

Junior Registration
Team Name
About your Team and Sponsors
About your Car

Please let us know some identifiable features about your car. Including your cars number if you have raced previously.
Peddallers

Juniors can have 6 - 8 peddallers. If you do not have names as yet please put TBA ON DAY
1.

First Name Last Name
2.

First Name Last Name
3.

First Name Last Name
4.

First Name Last Name
5.

First Name Last Name
6.

First Name Last Name
7.

First Name Last Name
8.

First Name Last Name
Pit Crew

* Must be responsible Adults
Crew 1.

First Name Last Name
Crew 2.

First Name Last Name
Contact Information
Team Leader

First Name Last Name
Club / Organisation

Address

Contact Number

Area Code Phone Number
Email
example@example.com
If you have a photo of you car for the program.

Browse Files

Cancel of
To be eligible to Race you MUST SUBMIT the following on the day:
*

I will submit Signed Terms & Conditions Form on the day. I will submit my Team Sponsorship Form on the day.
Entry Fee and Payment Details
The Juniors section entry fee is $50 and payment must be made for registration to be complete.

Cheques payable to “The Australian Pedal Car Grand Prix Committee Inc”.

Direct Payment:

Account Name: The Australian Pedal Car Grand Prix

BSB: 633 000

Account: 163022999

Make sure you use your Team Name as the reference.
Please verify that you are human *
Should be Empty:

About your Team and Sponsors