Inschrijfformulier - Chrono Karting

Date Open Winter 2T Series 2021

07 February 2021 - Circuit Horensbergdam Genk (canceled)

07 March 2021 - Circuit Erftlandring Kerpen (canceled)

Subject to bad weather conditions & Covid 19

Class:

Name: *

Address: *

Zip code: *

Place: *

Country: *

Telephone number:

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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 2021: *

Yes

No

Licence number 2021:

(in case of possession)

(KNAF) Ouder/kind licentie / entrant licence:

(only for drivers under 18 years)

Pay both races at ones:

Yes

No

Discount payment of both races at ones

I agree with the conditions of participations:

Yes

No