2011 Registration

Register for the 2011 TaG Super Series by filling in the form below. (series regulations HERE)

First Name:
Last Name:
Address:
Town/Suburb:
Postcode:
Phone No :
Mobile No :
Email:
Licence No:
Licence Grade (P/D, C, B or A) :
Race No:
What Class Are You Racing:		TaG-R Light TaG-R Heavy TaG-R Super Heavy TaG Light TaG Heavy
Are You Over 40 (Yes or No) :
What Engine Will You Use:		PRD Fireball Rotax MAX Rotax JMA Biland SA250 IAME Leopard Cheetah
Brand of Kart:
Brand Of Dash/Gauges :		MyChron Alfano Other None
First Year In Series (Yes or No):