Driver Nomination | CIS Nominations

Hambledon Hotel Modified Sedan Northern Nationals

This is a 2 day event, starting on May 17, 2024.
Your nomination must be received by May 10, 2024 to be included in the event program.

Speedway Australia License Number *

Racing Division *

Racing Prefix *

Racing Number *

Car Make and Model *

Transponder Number (if none, leave blank)

Length of Transporter (with tailgate down) *

Pit paddock layout is formed using this information. Cairns Speedway takes no responsibility for final placement of the pits should you have provided incorrect information.

Primary Sponsor (one only)

Secondary Sponsor (one only)

Agreement

NQIMRA ("CAIRNS SPEEDWAY") RESERVES THE RIGHT TO ACCEPT OR REJECT ANY NOMINATION.
NOMINATIONS CLOSE ON THE DATE INDICATED.

I HEREBY AGREE to indemnify and to keep indemnified the Promoter, Landholder, their agents and officials from all actions, suits, claims and demands for damages, or any other expenses whatsoever arising out of or relating directly or indirectly to or from the use by me of the Cairns Speedway complex and its surrounds for the purpose of/or any purpose connected with practice and/or competitive racing and/or trials and/or motor events. 

I FURTHER AGREE that I will promptly carry out any reasonable instructions from any Official of the Cairns Speedway and will not in any way do or suffer to be done, anything contrary to the regulations of the Cairns Speedway. 

BY SUBMITTING MY NOMINATION I understand that the driver and his/her pit crew may appear in visual media (ie photographs, video footage) that is taken inside this Speedway complex and that it remains the property of the media personnel involved. I also agree to any visual media involving the nominated driver and his/her pit crew may be used by the associated media personnel and/or Cairns Speedway.

NOTE:
Drivers shall be responsible for their Pit Crew according to the Racing Rules and Regulations of their Class/Division.
All racing is conducted under the Speedway Australia Rule Book.
All cars to be below 95 d.b.a. 
No glass containers are to be brought into the Speedway complex.
It is a breach of our Liquor Licence to bring alcohol into the Speedway complex.

I have read and accept the event agreement. *

Driver or Legal Guardian Full Name *

Event Nomination