Karting Day Licence Application

Personal Details

Medical Information

Disclaimers & Payment

Declaration:

  • 1/ I certify that the statements made regarding my psychological and physical condition and any previous illness are true and accurate.
  • 2/ I understand that I will not use any drug considered illegal.
  • 3/ I authorize any hospital or medical practitioner to furnish information relevant to my medical condition to a Medical Assessor in order to determine competition fitness.
  • 4/ I acknowledge that motorsport is dangerous and agree that AASA shall not be under any liability whatsoever for any death or bodily injury, loss or damage which I may incur, howsoever such death or bodily injury, loss or damage is caused, by negligence or otherwise.

For Female Applicants: I agree to refrain from participating in any motor sport events except touring events if I am aware that I am or may be pregnant, and to abide by AASA’s HSE policy regulations.

Competency Declaration by Club/ Organization or Individual.
This applicant is recommended by Club/ Organization/ Individual who is personally known to AASA

Price: $ 35.00
Transaction Fee: $ 0.93

Credit Card *