As this information is used for mail merging posted items, please ensure your address is entered with the correct casing. eg. 1 Main Street.
You must be 16 or older to apply this licence.
For those people who have previously only held a Club level licence must attach a history of at least three (3) events where the Clerk of Course has provided proof of completion of a satisfactory level of competition.
Information given in this statement will be treated in total confidence although the Chief Medical Officer, upon examining this document, is obliged to advise the Organiser of the Event if, at any time, a participant’s medical condition poses an unacceptable risk to that individual or to a co-driver, spectator, race official or any other person attending the Event.
Have you ever suffered from any of the following:
Please list all medication that you may be taking while attending the event – include prescription, over the counter and health shop preparations.
Please carefully read the following statement *
Declaration *
The Flexible Insurance Options product overview can be found at the link below.
Please ensure that you have read this document thoroughly before apply for this additional cover.
Increase weekly benefits to
Price: