South Burnett Speedway Club - Online Nominations

Meet Information

Nominations open for:	No events are currently opened for nomination. Please check back closer to the start of next season.
Proposed "rain out" date:
Divisions at this meet:
Nominations close:

Driver's Information

Name:
Postal Address:
Town/Suburb/City:	Postcode:
Phone Numbers:	(Home)	(Work)
	(Mobile)	(Fax)
Email Address:
Member of:	South Burnett Speedway Club Inc. Other - Club
Do you declare your racing activities to be a hobby?
Yes	If yes, are you registered for GST? Yes No
No	If no, do you have an ABN? Yes - ABN: No
If required, I undertake to supply to the promoter a completed Tax Invoice for the payment of prize money, tow money, travel or appearance money. If no Tax Invoice is forthcoming, 48.5% will be deducted and forwarded to the ATO.

Car Information

Car Prefix & Number:
Make & Model:
Passenger/Co-driver:
Sponsors:

Nominations

I would like to nominate for the following division/s:

	Modified Production
	Super Street Sedans
	Street Sedans - Division I
	Street Sedans - Division II
	QSCA Juniors
	ASCF Juniors
	Other -

Additional Comments

Indemnity Clause

I, hereby agree to indemnity to keep indemnified the Promoter, Landholder, their agents and officials from all actions, suits, claims and demands for damages or any other expenses whatsoever arising out of or relating directly to or from the use by me on the South Burnett Speedway Club Inc. and its surrounds for the purpose of/or any purpose connected with practice and/or competitive racing and/or trails and/or motor events.

I, further agree that I will promptly carry out reasonable instructions from any officials of the South Burnett Speedway Club Inc. and will not in any way, do or suffer to be done, anything contrary to the regulations of the said club.

The driver shall be responsible for his Pit Crew according to the Racing Rules and Regulations of their Class/Division.

All racing conducted under the ASCF Racing Rule Book. All cars to be below 95d.b.a.

No Glass containers are to be brought into the Speedway Complex. It is against our Liquor License to bring alcohol into the Speedway Complex.

I hereby agree to abide by the conditions of the above statements.

I do not agree to the above statements.

Please note: You must agree to abide by the conditions of the above statements for your nomination to be valid and accepted.