Driver Sign On

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Driver Name *

First

Last

Club - PLEASE SELECT THE CLUB YOU ARE RACING AT *

Please select the club you are racing at from the list.

Event *

Class *

Kart Number *

Licence Number *

Declaration:

Covid-19 Requirements:

1. I acknowledge that I have read and understand: KNSW Rules & Regulations; KNSW Guidelines to Reduce Risk at KNSW Sanctioned Events; and Acknowledge that KNSW has recommended that I download the COVIDSafe App.
2. I confirm that I have not travelled overseas in the last 14 days;
3. I am not showing any signs or symptoms of COVID-19 (fever, flu like symptoms such as temperature, coughing, sore throat or headaches or have difficulty breathing);
4. I have not had close or casual contact with a person who has been confirmed with COVID-19; and
5. I will follow the directions of KNSW and/or KNSW Club’s directions regarding hand hygiene whilst participating at a KNSW Sanctioned Event.

Guardian Name

Guardian Signature

Driver Signature *

Date *