Karting Australia Licence System

Apply for Pit Crew Licence

The symbol indicates a mandatory field.

Personal Details
Given Name:
Middle Name:
Family Name:
Date Of Birth:
Gender: male female
Contact Details
Phone (home):
Phone (work):
Phone (mobile):
Fax:
Email:
Confirm Email:

You do not have to provide an email address, but please provide one if possible. If you forget your password we can email a reminder to your email address.

Residential Address
Address Line 1:
Address Line 2:
Suburb/Town:
Postcode:
State:
Postal Address

Same as residential address

Address Line 1:
Address Line 2:
Suburb/Town:
Postcode:
State:
Passport photo (required)

You must attach a passport-sized photograph of yourself here.


Application Notes
  • You must supply a current photo.
  • Applicants aged 70 years and over need to have a medical exam. The form can be downloaded here
  • Parent/Guardian signature is required if applicant is under 18.
Conditions
I hereby apply for the issue of an KA Pit Crew Licence for use as a Pit Crew at KA licenced circuits, for participation in authorised KA Karting competitions or for private practice. I agree to be bound by the National and State Karting Council Rules. Medical Disclaimer: KA Manual Competition Rules Chapter 4 Rule 6 may apply.
I accept the insurance waiver (click here to see the insurance waiver in a new screen)
Application details
State to process the application
The price will appear below after you have selected the state.
Payment Details
Amount: Method:
Order no:
Cheque no:
Card type:
Card number: Security code: (info)
Card name: Card expiry:
ID:
At the end of this transaction the system will request your credit card details. The details will be sent encrypted directly to SecurePay for processing.
Cheques payable to
You must clearly state your payment reference:
Bank:
Name:
BSB:
Account: