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Results | Live timing
KNSW Clubs Info Hub
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Scrutineering Form - Sprint
We handle your personal information in accordance with KNSW Privacy Policy and Website Terms of Use
Driver Name
*
First
Last
Club - PLEASE SELECT THE CLUB YOU ARE RACING AT
*
Broken Hill Kart Club
Canberra Kart Racing Club
Central Coast Speedway Kart Club
Coffs Harbour Kart Club
Combined Districts Kart Club
Dubbo Kart Club
Grenfell Kart Club
Griffith Kart Club
Lismore Kart Club
Manning Valley Kart Club
NSW Speedway Kart Club
Orange Kart Club
Port Macquarie Kart Club
Tamworth Kart Racing Club
Wagga & District Kart Club
Wollongong Kart Club
Please select the club you are racing at from the list.
Event
*
Class
*
Kart Number
*
Transponder Number
*
Licence Number
*
Licence Grade
*
A
B
C
D
Checks
*
M.2.10 - Kart Numbers
T.2.1 - Frame (Check for Cracks)
T.2.12 - Floorpan (Check for Cracks)
T.2.10 - Sidepods
T.2.5 - Wheels/Nuts/Bead Retention
T.2.16 B) D) - Steering (Check for Cracks)
T.2.17 C) - Brake Pads, Retainers
T.2.17 A) D) - Brake Rods, Cables, Hoses
T.2.18 - Throttle Pedal/ Return Springs
T.1.5 D) - Weights
T.3.2 C) - Battery Bracket/Mounting
T.3.4 C) D) - Kill Switch/Clutch Retention
T.3.5 - Chain/Sprocket Guards
T.3.7 - Fuel Tank & Lines
T.3.9 - Airbox & Adaptor
T.3.11 - Muffler Springs/ Safety Cable
T.4.1 - Approved/Control Fuel
T.5.1 - Tyres - Approved Set
T.5.3 - Tyres - No Modifications
T.5.5 - Tyres - Usage/Marking
T.8.2 - Helmet & Visor
T.8.3 - Driving Suit
T.8.4 - Gloves
T.8.5 - Shoes
Please record your engine details below
Engine Make (1st)
*
Engine No (1st)
*
Engine Seal/ Tag No (1st)
Engine Make (2nd)
Engine No (2nd)
Engine Seal/ Tag No (2nd)
Engine Make (3rd)
Engine No (3rd)
Engine Seal/ Tag No (3rd)
Please record your chassis details below
Chassis Make (1st)
*
Chassis No (1st)
*
Chassis Seal/ Tag No (1st)
Chassis Make (2nd)
Chassis No (2nd)
Chassis Seal/ Tag No (2nd)
If required, please record your tyre details below
Dry Tyre Barcodes/ Serial Numbers
1.
2.
3.
4.
R.
Wet Weather Tyre Barcodes/ Serial Numbers
1.
2.
3.
4.
R.
Declaration:
I have checked, or have been authorised to check, all items and found them to be in accordance with the current KNSW Regulations.
Guardian/ Authorised Representative Name
Guardian/ Authorised Representative Signature
Clear Signature
Driver Signature
*
Clear Signature
Date
*
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.
Driver Signature
*
Clear Signature
Guardian/ Pit Crew Details
Is the driver under 18?
*
Yes
No
Guardian Name
*
Do you have any pit crew?
*
Yes
No
Pit Crew Name
*
Comment
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