Complete this form to advise Woodford Glen Promotion
of your intention to race at the meeting(s) indicated.
** Required Fields
NOTE: maximum of two meetings ONLY please.

** Email Address:
** First Name:
** Surname:
** Car Number
** SNZ Licence #
** Transmitter #
** Class
Intended Race Date #1
Intended Race Date #2
Are you in the Mentor Program?
Do you wish to run off the back of the grid?