Registration Form BDC 2023

Championship*

CRC only (1300$) CDN
CRC + RSQ (ECRC) (1375$)
CRC + RSQ (ECRC) + CRAB (1450$)
RSQ (ECRC) (Saturday only) (900$)
RSQ (ECRC) + CRAB (1300$)
CRAB only (900$)
CRC + ECRC (1375$)
ECRC Only (900$)

Shakedown (includ)*

Yes
No
Yes and I agree to take a ride of the organization's media

CAR Owner

Name*

First Name Last Name

Phone*

Email*

Driver

Name*

First Name Last Name

Phone*

Email*

Address*

Address City State / Province ZIP / Postal Code Country

Driver Nationality for display*

Co-Driver

Name*

First Name Last Name

Phone*

Email*

Address*

Address City State / Province ZIP / Postal Code Country

Co-Driver Nationality for display*

Chief crew email or second email*

Car

Class*

Open 4WD
Production 4WD
Open 2WD
Production 2WD

Car brand*

Car model

Year*

Equipments

In order to manage the logistic of the area of service, could you inform us about the equipments accompanying your crew

Trailers, quantity, dimensions

Team description for social media

Extra comment

Phone

This field is for validation purposes and should be left unchanged.

Registration Form BDC 2023