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REGISTRATION

KING OF THE WAVES ENTRY FORM

Six Gun Grill Blaauwberg King of the Waves 16/17 November 2024

Pilot Info:

First Name

Last Name

Email

Phone

ID Number

Blood Type

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Club & Licence Number

Next of Kin Name

Next of Kin Cell Number

Co Driver Info:

First Name

Last Name

Email

Phone

ID Number

Blood Type

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Club & Licence Number

Next of Kin Name

Next of Kin Cell Number

Racing Info:

Boat Number

Engine make & year model

Boat manufacturer *

Aquarius

Ceasar

Infanta

Mako

Madcat

Thundercat

Other

Please select your class of racing *

Stock

Pro-Stock

Modified

T-Shirts

T-Shirt size Pilot *

XS

S

M

L

XL

XXL

T-Shirt size Co-Pilot *

XS

S

M

L

XL

XXL

Entery Fee R1200

Bank details: BOOST GROUP
FNB
Bayside Branch 250655
Account number 63004054887

Thanks for submitting!

Hosted By:

Boost Performance Racing

Contact

Contact Details: events@trans-agulhas.co.za

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