CAMs & AASA OLT 31st January 2019Cams & AASA OLT – Observed Licence Testing - January 31st 2019 Driver DetailsPlease Note = All attendees MUST be in a Race Car, Street Cars are not suitable. All Drivers MUST wear all safety attire (Suit, Boots, Gloves and Helmet)First Name*Last Name*Mobile No.*Email* Address* Street Address Address Line 2 City State Post Code Emergency Contact Name*Emergency Contact Number*CAMS or AASA License No.*License Expiry* Car DetailsPlease select your car type*Please select your car typeRacecar SedanRoadcar SedanOpen Wheeler / MiniatureGo-KartYear of Car*Please Select201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900Make*Model*Colour*Capacity*Entry TypePlease select your entry type*Track Day $300Track Day and OLT with own Car $350Track Day and OLT with own car including Driving Instructor $680Track Day and OLT with Winton Hire car and instructor $1200Payment / Terms & Conditions"I/We have read and understood the Supplementary Regulations issued for this Meeting and agree to be bound by them and by the National Competition Rules of the Confederation of Australian Motorsport. (CAMS) I/We also acknowledge and agree that neither CAMS, nor Winton Motor Raceway Pty. Ltd., nor the sponsor organisations, nor the land owners or lessees, nor the organisers of the race meeting/ event, nor their respective servants, officials, representatives or agents (all of whom shall collectively be called "the Organisers"), shall be under any liability for my death, or any bodily injury, loss or damage which may be sustained or incurred by me, as a result of participation in or being present at the event, except in regard to any rights I may have arising under the Trade Practices Act 1974. I/We acknowledge that motor sport is dangerous and accidents causing death, bodily injury, disability and property damage can, and do, happen. I/We accept the conditions of, and acknowledge the risks arising from, attending or participating in the event and being provided with the event services by CAMS and the Associated Entities.Acceptance of Terms & Conditions* I accept I/We have read the above terms and conditions.CAMS AASA - OLT January 31st - Track Day* Price: $ 300.00 CAMS AASA - OLT January 31st - OLT with own Car* Price: $ 350.00 CAMS AASA - OLT January 31st - OLT with own car including Driving Instructor* Price: $ 680.00 CAMS AASA - OLT January 31st - OLT with Winton Hire car and instructor* Price: $ 1,200.00 CAMS AASA - OLT January 31st - Booking Fee* Price: $ 0.00 Total $ 0.00 Credit Card*MasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20192020202120222023202420252026202720282029203020312032203320342035203620372038 Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.