Kid’s Buggy Race Registration

Kid’s Buggy Race Registration

From 5 to 12 years old, Get Your Little Driver on Track! 
Register your child for the Kids’ Buggy Race at the International Rally 2025 in Eton. Buggies are provided. Whether it’s their first race or just for fun, this is a unique chance to experience the thrill of rally in a safe and exciting environment. Fill out the form below to secure your spot!

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CHILD'S INFO

Name *

First

Last

Age (5-12yo only) *

Gender

• Male
• Female

PARENT / GUARDIAN INFO

Name *

First

Last

Phone *

Email *

Emergency Contact (if different)

Select Race Option *

• Competition Entry Only - 5,000 VUV
• Competition Entry + 1 Parent VIP (Saturday & Sunday) - 15,000 VUV
• Competition Entry + 2 Parents VIP (Saturday & Sunday) - 22,000 VUV

Discovery Lap

Price: 500 VUV

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Parents can offer a lap in a buggy for their child (non-competitive). Just for fun – no timing, no ranking!

Total

0 VUV

I WILL PAY BY / LE PAIEMENT SERA FAIT PAR

• Cash
• Cheque (to be addressed to ACPV)
• Bank Transfer (Bank Details below)

ACPV Bank Details

Name: Automobile Club de Port Vila
Bank: Bred Bank Vanuatu
SWIFT Code: BREDVUVX
Account Number: 000245151010019

MEDICAL INFO

Any known allergies or medical conditions: *

Acknowledgement Discovery LE

Is the child currently on medication? If Yes, please specify: *

Consent & Acknowledgement *

• I give permission for my child to participate in the Kids’ Buggy Race.
• I understand the risks and agree to the terms of participation.

Upload Signed indemnity Form (download it from link below)

Drag & Drop Files, Choose Files to Upload

First download INDEMNITY FORM from link below, sign it and upload it here, to submit with your entry form.

Submit

Download indemnity form