Inschrijfformulier - Chrono Karting

Date Open Winter 2T Series 2023

5th of February 2023 - Circuit Erftlandring Kerpen

Subject to bad weather conditions

Class:

Name: *

Address: *

Zip code: *

Place: *

Country: *

Telephone number:

Email: *

Date of birth: *

Starting number:

(preference)

Brand:

Transponder number:

(in case of possession)

Would like an invoice:

Yes

No

Invoice address:

In case wanted

(KNAF) ASN licence 2022 / 2023: *

Yes

No

Licence number 2022 / 2023:

(in case of possession)

(KNAF) Ouder/kind licentie / entrant licence:

(only for drivers under 18 years)

I agree with the conditions of participations:

Yes

No