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Officials Registration
To complete your Online Officials Registration for Killarnée Targa South West 2012 please fill in the form below
If you are having issues with this online registration, a Word fillable version of the Officials Registration can be downloaded by
clicking here
Personal Contact Details
First Name*
Surname*
Address
Suburb
Postcode
Work Phone
Home Phone
Mobile Phone*
Email Address*
Please confirm your email address
T Shirt Size*
XS
S
M
L
XL
XXL
XXXL
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Please input your CAMS Officials Licence number. If you do not have a CAMS Officials Licence number please put "volunteer"
CAMS Licence Number
Preferred Duties*
Chicanes
Spectator Marshal
SOS / Vehicle Tracking
Regroups / Parc Ferme
Stage Controls
FIV
Road Closure
Course Cars
Other
Scrutiny
If you have selected either Stage Team or SOS / Vehicle Tracking please enter the Team that you work with. If you are not sure please leave blank.
Stage Team Name
Please indicate which days you will be available
Sat 26th May
Sun 27th May
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Emergency Contact Details
You will be required to give at least one Emergency contact.
Please give their full name and best contact number.
Emergency Contact Name*
Emergency Contact Number*
Alternate Emergency Contact
Alternate Emergency Contacts Number
* Required
Copyright 2012 Targa South West
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