Registration Form BDC 2024

Championship*

CRC (1350$) CDN
CRC + RSQ (ECRC) (1425$)
CRC + RSQ (ECRC) + CRAB (1500$)
RSQ (ECRC) (950$)
RSQ (ECRC) + CRAB (1350$)
CRAB only (950$)
ARC (ECRC) (950$)
RSQ + ARC (ECRC) (950$)

Shakedown (includ)*

Yes
No

Driver

Name*

First Name Last Name

Address*

Address City State / Province ZIP / Postal Code Country

Phone*

Email*

CARS license number*

Driver Nationality for display*

Co-driver

Name*

First Name Last Name

Address*

Address City State / Province ZIP / Postal Code Country

Phone*

Email*

CARS License number*

Driver Nationality for display*

Car owner (If different from the driver)

Name

First Name Last Name

Address

Address City State / Province ZIP / Postal Code Country

Phone

Email

Chief crew email or second email

Car information

CRC Class*

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

RSQ Class (If applicable)

Open 4WD
Open light 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 2024