Registration

Fill out the following form to register you details or download the PDF version of the form and send directly to the details on the Contact Us page.

Name of Organisation *
Contact Name *
Address

Phone *
Email *
Team Name *
Team Leader
Category (select grade) *

*Required fields

If runners or carts are being used for another team please specify team’s name and category.

Team Name

Disclaimer

* As the official entrant to the Billy Cart Grand Prix and I hereby state that I have read the rules and I am willing to comply with them including the procedure for any disputes. I understand that the entry fee of $30 is to be paid by 22nd August 2011. Payment can be sent to:

Payable to: Billy Cart Grand Prix
PO Box 110
Montmorency, VIC, 3094

Note: Entries Close Monday 22nd August 2011