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Nominations
Membership
Events
Calendar
Event Information
Gallery
Sponsors
Contact
Home
Nominations
Membership
Calendar
Event Information
Gallery
Sponsors
Contact
Menu
Home
Nominations
Membership
Calendar
Event Information
Gallery
Sponsors
Contact
Nominations
To confirm your nomination, please ensure that all information provided is accurate.
All competitors who wish to race at Ellenbrook Speedway are required to hold a valid Speedway Australia licence for the category they will compete in.
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Name
*
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Email Address
*
Phone Number
*
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Speedway Australia Licence Number
*
Speedway Australia Expiry Date
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Division
*
Select Division
Sprintcars
Junior New Stars
Junior Top Stars
Production Sedans
Street Stocks
Late Models
Driver's Car Number
Additional Information (if required)
Junior Parent Sign In Section
I will be the parent/guardian responsible for the above nominated junior on race day
Parent Full Name
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Parent Speedway Australia Licence Number
Parent Speedway Australia Expiry Date
Nomination Cost
*
Junior - $ 15.00
Senior - $ 25.00
Square
*
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Card
Name on Card
Pay Now
Sponsors
Select Nomination Cost