MLRC Navigational Rally Registration

Events

• Choose the events you wish to register for
• Entry Class Select One Expert Novice
• Registration Type Select One Bear Cub Rally Polar Bear Rally

Driver Information

• First Name
• Last Name
• Phone
• Address
• City
• Province
• Postal Code
• Email
• Club

Emergency Contact Information

• Name
• Relationship
• Phone

Navigator Information

• First Name
• Last Name
• Phone
• Address
• City
• Province
• Postal Code
• Email
• Club

Emergency Contact Information

• Name
• Relationship
• Phone

Vehicle Information

• Year
• Make
• Model
• Colour
• Plate
• Plate Region
• Insurance Company
• Policy Number

Payment Information

The Maple Leaf Rally Club accepts the following forms of payment:

• Payment Method
• Cash or Cheque
  Credit Card
  E-transfer