Register Online Please complete this form for your registration in the Brisbane Billycart Championships 2013. The $5.00 Entry fee (per driver) will be due on the day prior to cart scrutiny – all funds go to charity. Drivers Name*FirstLastDrivers EmailDrivers Contact NumberDrivers Gender*MaleFemaleDrivers AddressStreet AddressCityZIP / Postal CodeDrivers Date of Birth Drivers Age Race Category*4 to 6 Years7 to 9 Years10 to 12 Years13 to 16 Years17 Years and overBillycart NameTeam NameIf applicable, what is your Team name?Type of Billycart DesignTraditional Backyard BillycartModified BillycartNovelty BillycartI need to borrow a billycartTraditional Backyard: Rope and feet steering, with four wheels having a maximum 250 mm diameter Modified: ALL other designs. MUST have four wheels. Billycarts with mechanical steering or wheels greater than 250 mm diameter Novelty: Billycarts with multiple occupants and/or unusual design features e.g. bath tubs, washing machines etc.Detailed Billycart Specification requirements can be found here.What type of cart would you like to borrow?TraditionalModifiedParent / Guardian DetailsPlease let Mum, Dad or your Guardian complete this area.Parent / Guardian Name*FirstLastAddress of Parent / GuardianStreet AddressCityZIP / Postal CodeWill you be attending?*Yes, I WILL BE present while racingNo, I WILL NOT BE present while racingRelationship to the DriverAgreementsI agree to the Terms & ConditionsI agree to the Indemnity and Release conditionsSubscribe to newsletter?I agree to the Adult Guardian Consent and Indemnity (If the Driver is under 18)CommentsThis field is for validation purposes and should be left unchanged.