MEMBERSHIP APPLICATION FORM Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone *ID Number *Address *Kart / Bike Number *Can indicate more than one. Separate with a commaTeam NameIf applicable.Membership Type *Full Membership (Race Meetings & Unlimited Practice) - R 1,000.00Social Membership (Unlimited Practice Only) - R 500.00Out of Town Membership (Unlimited Practice Only) - R 350.00Once-Off Membership (1 x Race Meeting) - R 250.00Kart Class / CategoryBambino (5-9 Years)Kid Rok (6-10 Years)Micro Max (7-11 Years)Mini Rok (8-13 Years)Mini Max (9-13 Years)Junior Max (12-15 Years)Senior Max (14+ Years)DD2 (15+ Years)DD2 Masters (32+ Years)Junior MSR4 (13-16 Years)Senior MSR4 (17+ Years)Bike Class / CategoryMini Moto NR49ccHonda NSF 100ccHonda CBR 150ccMSR4 MSA License / Team (1-4 Drivers) *Annual / Team - R 750.00Once-Off / Team (1 x Race Meeting) - R 200.00Optional ExtrasAnnual Key Deposit - R 100.00Annual Reserved Pit - R 500.00Please view our Club Indemnity and Club Rules before agreeing below.Privacy Policy *I accept the Privacy Policy, Club Rules and Club Indemnity.Emergency Contact NameEmergency Contact NumberTotalR 0.00Payment StatusNot PaidPaidSubmit
