First Name *

Last Name *

WLRC membership status *

Member

Non-member

BRCA Junior Licence Holder

Yes — I hold a BRCA Junior licence

Mobile number *

Email *

I confirm that these details are accurate, that I have read the event information and applicable rules, and that my entry is not confirmed until WLRC accepts it. WLRC will use my details to administer this race entry.

BRCA number

First PT number *

Personal transponder (PT) number 2

Radio 86fa

Option 1

Option 2

Option 3

First class *

17.5 TC

Frontie

Tamiya

F1

Other

First class — Other

I wish to enter a second class

Yes — add a second class

Second class

17.5 TC

Frontie

Tamiya

F1

Other

Second class — Other

Comments for the Race Director (optional)

Trustee test form — no payment will be taken.

WLRC event

Practice classes

17.5 TC

Frontie

Tamiya

F1

Other

WLRC event type

Practice classes — Other