Legend of the Lakes Hillclimb Online Entry Form

PLEASE NOTE: The appearance of this Entry Form may vary depending on the type of device you're using. For best results, please use either a Tablet or Computer rather than a Mobile Phone to view and complete your entry.

Before completing this form, please read the Supplementary Regulations, Disclaimer Form AND Online Entry Form Instructions, which are available at http://www.seacsa.com/events/all-events/2019-11-08/2019-legend-of-the-lakes-hillclimb/.

The Entry Form requires information regarding the Competitor/Entrant and the Driver, so please have all of this handy before you start.

You must complete all of the required fields (fields with a red star) before you will be able to submit your Entry.

The Entry Form and the Entry Fee must be received before your Entry is classed as complete. You will receive an automatic reply email with a notification that your Entry has been received, along with bank account details for Fee payment.

Your Entry will then be checked by organisers before it will be accepted. An official acceptance email will be sent once finalised – please be patient, this will take a little while.

required = required

2019 LEGEND OF THE LAKES HILLCLIMB

Friday 8th, Saturday 9th & Sunday 10th November 2019

CAMS Permit # - 519/1011/01

Please complete each field below IN FULL.
Please do not use "As Above" as a response, as doing so will result in incorrect data collection. If your entry includes "As Above" as a response, it WILL NOT BE ACCEPTED.

COMPETITOR/ENTRANT DETAILS

Please enter the name of your Car Club IN FULL (eg. "South Eastern Automobile Club", NOT "SEAC").

DRIVER DETAILS



Please enter the name of your Car Club IN FULL (eg. "South Eastern Automobile Club", NOT "SEAC").




View Supplementary Regulations at http://www.seacsa.com/events/all-events/2019-11-08/2019-legend-of-the-lakes-hillclimb/

View the Disclaimer at http://www.seacsa.com/events/all-events/2019-11-08/2019-legend-of-the-lakes-hillclimb/

DAYS ENTERING





VEHICLE DETAILS

If applicable.
Please enter a 4-digit number.






SHARED VEHICLE DETAILS

Multiple entries for any car are permitted (to a maximum of two per vehicle). The entries must be on separate Entry Forms.
Entries may only be entered in one Class and one Category and must not be transferred without the Clerk of Course’s permission.
Are you sharing this vehicle with another Driver? If so, the second driver MUST complete a SEPARATE Entry Form.


MEDIA & PROMOTIONAL DETAILS



Please list all National Competitions entered, including the year of Competition.
Please list all State Competitions entered, including the year of Competition.
Any additional information to assist with promotion of the Driver.

FEES

Early Bird Entries close at 8.00pm on Thursday, 19th September 2019.
Entries close at 8.00pm on Thursday, 3rd October 2019.
Please select your Entry Fee, as applicable.
Please enter the total $ amount due for Entry Fees.
Your Entry Fee includes Passes for 1 Driver and 2 Service Crew for each nominated day. Additional Crew Passes can be purchased for $10.00 each at the time of entry application. Alternatively, Crew can purchase Passes at the Event at Gate Price.


@ $10.00 each.
Please enter the total $ amount due for additional Crew Passes.
Please enter the total $ amount due for Entry Fees + additional Crew Passes (if applicable).
If paying by EFT, please email remittance to info@seacsa.com. If paying by Cheque, please post to SEAC SA Inc, PO Box 1551, Mount Gambier SA 5290.