KCF Rallysport S C C Rd 3 Imbil Officials Reg
Date: 27 October 2018
Street Address, Suburb/Town/City State and Post Code
Mobile Phone No:
Are you a licenced CAMS official?
CAMS licence number & Expiry Date
Date of Birth (If under 18 years)
Medical Details (please indicate any allergies, medications you take, etc. This information remains confidential and will be destroyed post event).
Emergency Contact and Phone Number
Event 27 October (Event) Saturday 2018
Set Up Friday 26 October 2018
Pull down Sunday 28 October 2018
Role (Please indicate your preference)
Time Control Official
Start Control Official
Flying Finish Control Official
Stop Control Official
Start /Regroup Official
SOS (Club Radio Suppled)
Road Closure ( Club Radio supplied)
Recovery - Team TRR only
Radio Base - Command Centre
Other Officials you will be attending with
Type of vehicle you will be attending the event in.
NO - travelling with some else
VEHICLE RADIO - Radio on Brisbane Sporting Car Club special frequency - NOT just a normal UHF radio
Thank your for Registering to be an Official -
KCF Rallysport Short Course Challenge Rd 3 - Imbil Rally
Brisbane Sporting Car Club
The information contained in this form will be compiled by the - Brisbane Sporting Car Club Ltd into a database. No information will be distributed to any third party. By completing this form I give my consent to this information being stored and used by the Brisbane Sporting Car Club Ltd.
Do Not Fill This Out