Licensing / membership

Complete this form.

Please complete the below form should you wish to purchase an AASA License and Club Membership, an AASA License alone, or an RKC Membership only. This is to be used for renewals and updating of details for Life Members as well.

An AASA License is Required for practice and racing at Rockhampton Kart Club. Your AASA License is valid for 1 year from date of issue.

Strictly no access to on-track racing / practice activities without a valid AASA or KA License.

KA or KNSW licenses are permitted for race days only.

Please allow 1 week for license and Membership processing. All details need to be entered individually to ensure compliance with our licensing and insurance obligations.

Once processed your AASA eLicense will be emailed directly to you. Your will receive separate correspondence from RKC to confirm your RKC Membership.

Privacy - The information you enter in this form will be shared with AASA for the purpose of insuring an RKC Race License, and RKC for the purpose of managing RKC Club Membership accordingly.

Firstname

Surname

Date of Birth

Full Residential Address no PO Boxes

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Special Needs / Medical Conditions

You are required to briefly disclose any significant medical conditions or special needs that may affect your ability to operate a Go Kart. Please list below:

Mobile Number

(###)

###

####

Email Address:

This is where you will receive your Digital AASA License and Club Correspondence.

License Type being Applied For

Please select "None" if you are only purchasing an RKC Membership at this time.

RKC Membership

If you are also applying for or renewing an RKC Membership, please choose your membership type below. If you are not purchasing an RKC Membership, please select "None".

Rockhampton Kart Club Inc. Rules and Bylaws

I/we agree to abide by the RKC Rules, Bylaws and Guideline (available on the Club's website).

Yes

Media

I/We agree to the club recording images of you or your child for club promotion .

Yes

Privacy

In completing this form, I understand and give permission for my data to be shared with AASA for the purpose of issuing an RKC Racing License. AASA may contact me in relation to my license.

Yes

Emergency Contact Name

Emergency Contact Number

(###)

###

####

After pressing submit, please Check Out Via Square. If you are applying for multiple AASA Licenses / have Multiple People on your Club Membership, please complete this form for each, then checkout with the appropriate option using Square.

Licensing / membership

Complete this form.

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