INTERNATIONAL ROK CUP FINAL 2018 REGISTRATION FORM

Transcription

1 INTERNATIONAL ROK CUP FINAL 2018 REGISTRATION FORM Please complete this form, sign and return to ROK Cup Promotions along with full payment amount. DRIVER INFORMATION NAME: COUNTRY OF RESIDENCE: PHONE NUMBER: DRIVER DOB: MINOR: YES NO NAME OF PARENT OR LEGAL GUARDIAN ATTENDING: ELIGIBILITY TYPE: Qualified drivers = ticket winners Qualified driver Non-qualified driver Please select class and package: Package 1: ROK CUP INT. FINAL : October 8th to October 13th SERIES (ROK USA/FWT/COTA/CANADA) Package 2: ROK CUP INT. FINAL + TROFEO D AUTUNNO*: October 4th to October 13th CLASS PACKAGE 1 ROK INTERNATIONAL PACKAGE 2 D AUTUNNO + ROK INT. MINI ROK JUNIOR ROK SENIOR ROK ROK EXPERT ROK EXPERT PLUS SHIFTER ROK ENTRY ONLY ENGINE RENTAL $ 2, $ 3, $ $ $ 3, $ 4, specify class: ONLY AVAILABLE FOR ENTRY ONLY OPTION) TEAM SUIT & APPAREL $ Suit + shirt + jacket (extra jackets and shirts available for sale) LICENSE By checking off the boxes below you acknowledge that you have obtained or will obtain the required documents for competition BEFORE start of event. INTERNATIONAL KARTING LICENSE: Select the license applicable for your class (see official report for more info). INTERNATIONAL C-SENIOR(SENIOR /EXPERT / PLUS & SHIFTER) INTERNATIONAL C-JUNIOR (JUNIOR ROK) INTERNATIONAL B(SENIOR /EXPERT/PLUS & SHIFTER) WKA LICENSE + ENDORSEMENT LETTER (MINI ROK ONLY) COUNTRY OF LICENSE ISSUED: LICENSE #:

2 INTERNATIONAL ROK CUP FINAL 2018 REGISTRATION FORM Please complete this form, sign and return to ROK Cup Promotions along with full payment amount. KART RENTAL INFORMATION CHASSIS BRAND: TONY KART KOSMIC KART Please select the brand of chassis you wish to rent for the event. If no option is selected, ROK Cup Promotions will select chassis brand for driver. FA KART EXPRIT KART OTHER (entry only specify brand) SEAT SIZE: Please select the seat size required for driver kart rental. Use the measurement table in the official report for accuracy. If seat is required to be changed, driver will incur an additional cost. MINI ROK: JUNIOR ROK, SENIOR ROK, EXPERT/PLUS SHIFTER ROK: MINI 1 MINI 3 SIZE 1 SIZE 3 MINI 2 MINI JR SIZE 2 SIZE 4 TENT: YES NO TEAM: ACKNOWLDGEMENT AND SIGNATURE By completing this registration form, you acknowledge that you are providing all the correct and necessary information to ROK Cup Promotions along with complete payment amount in order to process your registration. You will receive a confirmation from ROK Cup Promotions once your spot has been officially reserved. ROK Cup Promotions does not guarantee entry spots, or will be responsible for any expenses in case of the driver does not gets in the entry list. All material rental required a $700 deposit that will be refunded after 30 days.if complete payment and/ or confirmation is not received by August 31st 2018 ROK Cup Promotions reserved the right to cancel. DATE: NAME OF REGISTRANT (IF MINOR): NAME: SIGNATURE:

3 INTERNATIONAL FINAL 2018 INCLUDES: 1. Driver entry for ROK official event and after party 2. Complete Standard Kart Rental (new OTK complete kart + new sealed engine ready to use) 3. 1 set Bridgestone Slick practice tires 4. 1 additional set of OTK MXJ 212/130 or 1 additional set of OTK AXJ 145/110 for Mini Rok class Kart trolley 6. Pit space for 1 driver Tent (includes 1 table and 2 chairs) 7. Transponder rental DOES NOT INCLUDE: 1. Unofficial Practice fees 2. Practice fuel and/or racing fuel are not included for ANY drivers Fuel can be purchase at the TAMOIL gas station 3. Fuel jug 4. Race tires 5. Damage to the kart 6. Tuning parts for the kart 7. Mechanic and ALL associated fees 8. Tools 9. Data System 10. Oil 11. Engine Rebuilds 12. Food 13. Hotel 14. Transportation 15. Rental car 16. Rain Wheels or Rain tires 17. Trofeo D Autunno race entry fee Important: 1. Bring 2 extra sets of rain wheels 2. LED weights are available for rent (refund after returned) 3. Bring fuel jug 4. Practice and food at the track is cash only 5. In case of wet race, rain tires must be purchased. 6. A deposit of $700 will be made for kart pick up 7. For Kart pick up credit card only NO American Express 8. All karts will get an inspection at the end of the day, deposit amount will be returned in full or reduced by any unpaid damages. P a g e 7 13

4 INTERNATIONAL FINAL 2018 Classes: CLASS AGE ENGINE WEIGHT LICENSE MINI ROK 9-13 years old (up to 14 years old not turned) Mini Rok engine 110 Kg = 242 lbs. National License JUNIOR ROK years old (up to 16 years old not turned) Junior Rok engine 145 Kg = 319 lbs. International C Jr SENIOR ROK ROK EXPERT (Master) ROK EXPERT PLUS (Master Plus) SHIFTER ROK From 14 years old (from 13 years old if 14 From 14 years old weight 85Kg or more. From 32 years old (from 31 years old if 32 From 45 years old (from 44 years old if 45 From 15 years old (from 14 years old if 15 Rok GP engine Rok GP engine Rok GP engine Shifter Rok engine 160 Kg = 352 lbs. 170 Kg = 374 lbs. 170 Kg = 374 lbs. 180 Kg = 396 lbs. P a g e 5 13

5 INTERNATIONAL FINAL 2018 Race Schedule: Monday 8th October: Equipment pick up and non-official free practices Tuesday 9th October: non-official free practices Wednesday 10th October: practices + technical checks, qualifying practices, qualifying heats. Thursday 11th October: practices + technical checks, qualifying practices, qualifying heats. Friday 12th October: qualifying heats Saturday 13th October: Finals and Rok Party with prize giving Track map: click here P a g e 4 13

6 One Time Credit Card Payment Authorization Form Sign and complete this form to authorize ROK CUP USA to make a one time debit to your credit card listed below. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account. Please complete the information below: I authorize ROK CUP USA to charge my credit card (full name) account indicated below for on or after. This payment is for (amount) (date). (description of goods/services) Billing Address City, State, Zip Phone# Account Type: Visa MasterCard AMEX Discover Cardholder Name Account Number Expiration Date CVC: Zip code: SIGNATURE DATE I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.