0 SDMA Entry Form
Today's Date: 17 Feb 2020 - Upon hitting the submit button, this will be recorded as date received.
ENTRY FORM
Southern District Motorsports Association Inc.
Held under the International Sporting Code of the FIA, and the National Competition Rules of CAMS.
PO Box 1484, Queanbeyan, NSW 2620 (Incorporated in the ACT)
www.sdmhillclimb.com

CAMS Permit No: 120/0103/01
Event:  SDMA Club Hillclimb        Date:  Sunday 1st of March 2020        Event Location:  Fairbairn Park
Declaration by Competitor: (NOTE: THIS IS THE CAR OWNER)
Address
Postcode
Being a Financial member of the Southern District Motorsports Association and being the owner of the car described below, hereby enter my car for the above event and agree to be bound by the rules thereon which I agree, govern the event.
Drivers Details - It is a CAMS requirement that this section is filled out correctly - you CAN NOT put "as above"
Name

Address

Postcode

Phone (h)

Phone (w)

Email

Junior Driver

Female Driver

CAMS Affiliated Car Club
Southern District Motorsport Association (Day membership may be available if you are a member of another CAMS affiliated Car Club, contact the Event Secretary , listed below, for information
Club Membership No:
(Membership card MUST be sighted at the event - enter NEW if signing up at event)
NOTE: If you are from another CAMS affiliated club, just put initials of the club - Membership card MUST be sighted at the event.

CAMS Licence No:

(Licence MUST be sighted at the event - enter NEW if signing up at event - You can find the CAMS licence form here - a Speed L2S license is required)
   
Description of Vehicle
If driving 2 Vehicles, is this vehicle to be counted towards the drivers Championship?
Yes No (Please complete a separate form if driving a second vehicle, second entries are subject to approval)
   
Is this a new Competition Vehicle?



Make:

Body Type:

Model:

Year:

Engine Capacity: 

  (E.G: if you have a 1.6l - put 1600...if 2.5l put 2500...if 3.8l put 3800)

Fuel Type:


Forced Induction?

Category Type:
  
If you are unsure of the Category Type of your Vehicle, please contact the Event Secretary (Details Below)

Category Class:
 
Your Class will be determined and confirmed in an email

CAMS log Book No:
 
  (if applicable)

Is this car double entered?



If Yes, please add the name of the second driver below (NOTE: This is not the entry for the second driver - it just ensure the two drivers are split in the running order)


Competition Category Types (summarised, see www.sdmahillclimb.com/entry for full details)
Type 1/2 - Standard or minor modifications   Type 3 - More modified Vehicles   Type 4  - Extensively modified Vehicles   Type 5 - Race Vehicles   Type AE - Electric powered Vehicles
Type AWD 1/2 - AWD, standard or minor modifications   Type AWD/SV 3 - AWD and 2WD kit vehicles, more modified   Type AWD/SV 4 - AWD and 2WD kit vehicles, extensively modified

Classes: Type 1-4 and SV/AWD: 0-1600cc, 1601-2000cc, 2001-3000cc, over 3000cc
Type 5: 0-750cc, 751-1300cc, 1301-2000cc, over 2000cc   Type AE: EV
PAYMENT DETAILS
Payment Method:     Cost of this hillclimb event is: $85(Senior) and $50(Junior)
   
NOTE:

Unless a prior arrangement has been made with the event secretary, entry fees for hillclimb events MUST be received into the SDMA bank account before the close of entries. If the fee is not received, your entry will be deemed invalid and your car will not run on the day.



EFT Details BSB: 633000
Account: 153212766
Name: SDMA
Cheque/Money Order/Cash Cheque/Money Order MUST be made payable to SDMA and then forward to: 71 Maitland St Hackett ACT 2602
 
EVENT SECRETARY DETAILS
Name: Dave Peisley
Phone: 0409000028
By hitting the submit button, you acknowledge all the information entered above is correct. As per CAMS NCR providing false or misleading information will result in your entry being null and void.  A confirmation email, together with the CAMS disclaimer will be immediately emailed to you. Please follow the instructions contained within the email.