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2021 SpeedSport Scholarship Entry Form

Please fill out the following information to register your interest in the 2021 SpeedSport Scholarship, 15 - 16 May 2021.

Entries are limited to 15 participants, so confirmation and further details of your place in the scholarship will be sent through.

Entries close Friday 7th May, or when the 15 participants have been confirmed.

Open to Ages 12+.

First Name

Last Name

Address (Full address including City & Postcode)

Phone

Date of Birth

Email

Height (cm)

Weight (kgs)

I have had previous Motorsport / Karting Experience *

No

Yes

Thanks for submitting!

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