This application must be completed and submitted to the host Club/League
a minimum of seven days before the race meeting takes place.
PLEASE NOTE THAT THE DATE IS FROM WHEN THE FORM IS SUBMITTED USING THE SUBMISSION BUTTON.
This application must be followed up using the normal on-the-day Day Licence.
Please complete all details for the applicant (intended licence holders) and tick the "terms and conditions" box . Ensuring that you provide your signature on this application.
In addition, please tick the "medical declaration" ONLY if this applies to you.
NASA reserve the right to change this form at any time, any changes will be notified to each Club.
NASA and/or the supplying Club/League reserve the right to withdraw acceptance of this application at any time.
Proof of ID (Driving Licence / Passport or Birth Certificate) must be seen before this application can be approved.