All race meetings at DTKC are pre nomination format to do this you must nominate for any race meeting no later than 5.00pm on the Wednesday prior to each event, or late nominations may incur a late fee & ROF for the meeting.

Please Nominate using the nomination form below, this will go to the DTKC secretary & you will also recieve a confirmation e mail on completion of this form.

Otherwise please fax your nomination FORM to the nomination fax hotline to 08 6314 6615

any problems please E mail office@dirttrackerskartclub.com.au

All information must be completed & correct to ensure your nomination.

E-mail Address: *
Phone Number *
First Name *
Surname *
Whats Your Club *
AIDKA Licence Number *
Race Class *
Race Number *
Extra Race Classes
Extra Class Race Number
Race Date *
P Plate *
Rof *
Make of Kart *
Sponsors *
Brand of Fuel *
Brand of Oil *
I agree to the rules of AIDKA 2009 rule book & all current supplementry regulations. I also agree as a condition of entry that neither AIDKA nor the promoters, nor the organisers of the meeting or event, nor the respective servants, officials, representatives or agents shall be under any liability whatsoever for any death or bodily injury, loss or damage which may be sustained or incurred as a result of my participation in the race meeting or event howsoever such death or bodily injury, loss or damage is caused whatsoever by negligence or otherwise. *Yes
No

* Required