2022 Track Championship Nominations Competitor Name (First & Last)(Required) Registered State and Racecar Number(Required) example NT66Competitor Email(Required) Competitor Phone*If you have nominated previously in the 2022 season. We will have this detail already. Feel free to leave it blank. Competing Section(Required)Select OneSprintcarsWingless SprintsFormula 500Street StocksAMCA NationalsJunior SedansSolo BikesDirt KartsSelect Meeting(Required)Select MeetingMay 7th - Open night - All Race SectionsMay 21st - Wingless, St Stocks, Jnr Sedans, F500's, AMCA, Solo, Dirt KartsMay 28th - Sprintcars, Wingless, St Stocks, Jnr Sedans, Dirt KartsJune 3rd - Wingless, AMCA's, F500's, Dirt Karts, Solo'sJune 4th - Sprintcars, Wingless Sprints, AMCA's, Jnr Sedans, F500's, Dirt Karts, Solo'sJune 25th - Sprintcars, Wingless, AMCA's, St Stocks, Jnr Sedans, Solo'sJuly 2nd - Wingless, AMCA's, St Stocks, F500's, Dirt Karts, Solo'sJuly 9th - Sprintcars, Wingless, AMCA's, St Stocks, Jnr Sedans, Dirt Karts, Solo'sJuly 29th - Wingless, AMCA's, St Stocks, Jnr Sedans, F500's, Dirt Karts, Solo'sJuly 30th - Sprintcars, Wingless, AMCA's, St Stocks, Jnr Sedans, F500's, Dirt KartsAugust 12th - Sprintcars, St Stocks, Jnr Sedans, F500's, Solo'sAugust 13th - Sprintcars, Wingless, AMCA's, St Stocks, Jnr Sedans,*Each nomination for each date has to be done separately. Transponder Number *If you have nominated previously in the 2022 season and have not changed Transponders. We will have this detail already. Feel free to leave it blank.Sponsors *If you have nominated previously in the 2022 season. We will have this detail already. Feel free to leave it blank.Prize Money Bank Details Account and BSB No. (excluding Junior Sedans) *if you have nominated previously in the 2022 season. We will have this detail already. Feel Free to leave blank. Next of Kin(Required) *List Name, Phone number, Relationship to to competitor.Supplementary Regulations & Covid - 19(Required)I declare that I have read and understood the supplementary regulations that will be in effect and the nominated race meeting/s and will adhere to them at all times. I accept any and all applicable penalties should they be breached by myself or an associated member of my nomination. I understand that the DSRDA has implemented a COVID-19 Management Plan and will adhere to all directional information displayed throughout the venue i.e. social distancing, sanitation requirements etc. I also understand the information provided in this nomination form may be used for contract tracing and notification purposes only. I Accept DSRDA Member Nomination Fee Price: $ 50.00 Quantity: Non DSRDA Member Nomination Fee Price: $ 100.00 Quantity: Sprintcar NT Title Fee Price: $ 200.00 Quantity: Transponder Hire Price: $ 30.00 Quantity: Coupon Total Δ
