MEMBERSHIP APPLICATION FORM Please enable JavaScript in your browser to complete this form.ONLY ONE MEMBER APPLICATION PER FORM *1 x Member Application Member / Applicant *FirstLastParent / Guardian (If Applicable)FirstLastIf ApplicableEmail *Phone *ID Number *Address *Kart / Bike Number *Team NameIf Applicable - MSR4 Class OnlyMembership Type *Senior Annual Club Membership (Excl. Practice Fee) - R 650.00Junior Annual Club Membership (Excl. Practice Fee) - R 450.00One Event Club Membership (Social Non-Member) - R 150.00One Event Club Membership (Border BKC Member) - R 100.00One Event Club Membership (National Member) - R 150.00Practice (Once-Off) - R 0.00Only Full Annual Members have AGM Vote Right. 1 Vote / Member Practice Fees *Annual Practice Fee Individual - R 1,650.00Annual Practice Fee Team Principle - R 1,650.00Annual Practice Fee Team Additional Driver - R 0.00Non-Participating Members (Officials, Parents, etc.) - R 0.00Practice Fees Compulsory for Annual Participating Club Members.Team Principle *Additional Driver to Existing TeamPractice Fees (Once-Off) *Once-Off Practice Fee (Social Non-Member) - R 150.00Once-Off Practice Fee (Border BKC Member) - R 100.00Once-Off Practice Fee (National Member) - R 500.00Junior Kart Class / CategoryBambino (5-9 Years) - JUNIORKid Rok (6-10 Years) - JUNIORMicro Max (7-11 Years) - JUNIORMini Rok (8-13 Years) - JUNIORMini Max (9-13 Years) - JUNIORMini MSR4 (10+ Years) - JUNIORJunior MSR4 (11+ Years) - JUNIORSenior Kart Class / CategoryJunior Max (12-15 Years) - SENIOROKJ/OKN - SENIORSenior Max (14+ Years) - SENIORDD2 (15+ Years) - SENIORDD2 Masters (32+ Years) - SENIORSenior MSR4 (17+ Years) - SENIORJunior Bike Class / CategoryMini Moto NR49ccHonda NSF 100ccSenior Bike Class / CategoryHonda CBR 150ccMSA LicenseAnnual MSA License - R 0.00Once-Off MSA License - R 0.00Please visit www.msaonline.co.za to complete MSA Driver Profile and apply for MSA Annual or Once-Off Event License, including payment. Reserved PitsAnnual Reserved Pit (Incl. Key) - R 500.00Annual Pratice Only Members (Incl. Key) - R 0.00Once-Off Reserved Pit - (Event) - R 0.00Once-Off Reserved Pit - (Practice) - R 0.00Compulsory - Race EntrantsPlease view our Pits Allocation Page 1 and Pits Allocation Page 2 before making your selection. NOTE - Pit Numbers not indicated within Pit Selection Schedules (Annual or Once-Off) have already been selected and booked by other Teams/Individuals. Annual Pit Selection 123456789101112131415161718192021222324252627282930313233N1N2N3N4N5N6N7N8N9N10N11N12N13N14N15N16N17N18N19N20N21N22N23N24N25N26N27N28N29N30N31N32N33N34N35N36N37N38N39N40N41N42N43N44N45N46N47N48CompulsoryOnce-Off Pit Selection123456789101112131415161718192021222324252627282930313233N1N2N3N4N5N6N7N8N9N10N11N12N13N14N15N16N17N18N19N20N21N22N23N24N25N26N27N28N29N30N31N32N33N34N35N36N37N38N39N40N41N42N43N44N45N46N47N48CompulsoryPlease view our Club Indemnity and Club Rules before agreeing below.Policy *Hereby confirm that I have read and accept the Privacy Policy, Club Rules and Club Indemnity.Emergency Contact Name *Emergency Contact Number *TotalR 0.00Payment StatusNot PaidPaidSubmit
