Officials Registration

ABOUT YOU

First Name*

Last Name*

Date of Birth(DD/MM/YYYY)

CAMS Licence

Do you have a CAMS ID ?*

Yes

CAMS ID

Licence Grade

Exp.(DD/MM/YYYY)*

Warning: Your CAMS Licence is expired.

Car Club Membership

Car Club

Member ID

Membership Expiry Date(DD/MM/YYYY)

Your Status

Are you in Training?

Official's Roles

Please select those Roles for which you wish to volunteer AND provide your appropriate GRADE for each Role nominated. Note that you will not be able to de-select a Role if you have previously recorded Events against it.

Select Role	Role Grade
Administration
Chaplain
Commentary
Fire & Rescue
Flag Marshal
Grid Marshal
Pitlane Marshal
Race Control
Recovery
Scrutineer
Sector Marshal
Starter
Stewards
Timing

YOUR ADDRESS

Address*

Suburb*

State*

Postcode*

contact details

Email*

Mobile*

Work Phone

Home Phone

Fax

Next of kin details

Name*

Relationship*

Contact number*

Medical Information

General Practitioner

GP Phone

Address of GP

Blood Group

Do you smoke ?

Medication taken prescribed by your Doctor

Allergies (e.g. Penicillin / Iodine)

Do you have or have had any medical conditions or illness ?

Have you ever had any broken bones or neck injuries ?

When did you last have a tetanus injection ?

Is there anything you consider relevant or important in your medical history (e.g. heart condition etc.) ? Please specify

password

Create your password*

Confirm your password*

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