NATIONAL AUTOGRASS SPORT ASSOCIATION LTD.
APPLICATION FORM
LADIES & JUNIOR NATIONAL CHAMPIONSHIPS 2025
I would like to apply for a place in the 2025 LADIES & JUNIORS NATIONAL CHAMPIONSHIPS taking place on on 30th & 31st August 2025
PLEASE NOTE:
a) IF YOU HAVE NOT APPLIED FOR A CURRENT LICENCE, WHICH HAS BEEN ISSUED, AS A
DRIVER BEFORE MONDAY 30 TH JUNE 2025 YOU ARE NOT ELIGIBLE TO RACE AT THESE
CHAMPIONSHIPS.
b) NO applications will be accepted after the 18 th July 2025
This form will automatically be emailed to Callie Cooper CCALLIE502@GMAIL.COM
c) If this form has not been received by Callie Cooper by the 18 th July 2025 then you
cannot take part at this event.
d) If you wish to apply to race in more than one class below there is a box to
accommodate both classes and car nos. Limit is two classes. Please use classes 1-10, F600
& STOCKHATCH for the Ladies and Jun-1 and Jun-Special, Jun-F600 for the juniors for this
purpose.
e) All sections must be filled in CORRECTLY for your application to be accepted.
f) Your application will be acknowledged, so please make sure you fill in your email
address.
g) Please make sure that you pay the appropriate fee of £40 to your club.
PLEASE COMPLETE ALL SECTIONS AND PRINT IN FULL
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TICK APPROPRIATE BOX
JUNIORS TICK APPROPRIATE BOX
Please sign to state you agree to share your information with National Autograss Sport Association Ltd
If under 18 parent/guardian to complete and sign
I consent to person named above taking part in these Championships