{"id":2270,"date":"2020-09-23T22:09:48","date_gmt":"2020-09-23T12:09:48","guid":{"rendered":"https:\/\/mbcofnsw.com\/?page_id=2270"},"modified":"2023-06-08T11:02:04","modified_gmt":"2023-06-08T01:02:04","slug":"driver-registration-form","status":"publish","type":"page","link":"https:\/\/mbcofnsw.com\/?page_id=2270","title":{"rendered":"Driver Registration Form"},"content":{"rendered":"<div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-8cf80a7b-f7f3-442a-831f-07556c4d2eae\" id=\"wpforms-2268\"><form id=\"wpforms-form-2268\" class=\"wpforms-validate wpforms-form\" data-formid=\"2268\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/index.php?rest_route=%2Fwp%2Fv2%2Fpages%2F2270\" data-token=\"dfa106086548f7b8eb540fd4aa94c5d6\" data-token-time=\"1784432357\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-2268-field_3-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"3\"><label class=\"wpforms-field-label\" for=\"wpforms-2268-field_3\">Name   ( First and Family) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-2268-field_3\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][3]\" required><\/div><div id=\"wpforms-2268-field_7-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-2268-field_7\">AMPBA Race Number<\/label><input type=\"number\" id=\"wpforms-2268-field_7\" class=\"wpforms-field-medium\" name=\"wpforms[fields][7]\" step=\"any\" ><\/div><div id=\"wpforms-2268-field_6-container\" class=\"wpforms-field wpforms-field-number\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-2268-field_6\">Mobile # <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"number\" id=\"wpforms-2268-field_6\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][6]\" step=\"any\" required><\/div><div id=\"wpforms-2268-field_9-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"9\"><label class=\"wpforms-field-label\">Run day fee <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-2268-field_9\" class=\"wpforms-field-required\"><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_9_3\" name=\"wpforms[fields][9][]\" value=\"Paid $20 cash\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_9_3\">Paid $20 cash<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_9_4\" name=\"wpforms[fields][9][]\" value=\"Paid $20 with SQUARE\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_9_4\">Paid $20 with SQUARE<\/label><\/li><\/ul><\/div><div id=\"wpforms-2268-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><label class=\"wpforms-field-label\">Select Classes you wish to race in<\/label><ul id=\"wpforms-2268-field_8\"><li class=\"choice-24 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_24\" name=\"wpforms[fields][8][]\" value=\"EA Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_24\">EA Mono<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_2\" name=\"wpforms[fields][8][]\" value=\"EB Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_2\">EB Mono<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_3\" name=\"wpforms[fields][8][]\" value=\"EA Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_3\">EA Hydro<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_4\" name=\"wpforms[fields][8][]\" value=\"Petrol Mono \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_4\">Petrol Mono<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_5\" name=\"wpforms[fields][8][]\" value=\"Petrol Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_5\">Petrol Hydro<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_6\" name=\"wpforms[fields][8][]\" value=\"Petrol Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_6\">Petrol Tunnel<\/label><\/li><li class=\"choice-25 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_25\" name=\"wpforms[fields][8][]\" value=\"A Sport O\/B Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_25\">A Sport O\/B Tunnel<\/label><\/li><li class=\"choice-22 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_22\" name=\"wpforms[fields][8][]\" value=\"A O\/B Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_22\">A O\/B Tunnel<\/label><\/li><li class=\"choice-23 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_23\" name=\"wpforms[fields][8][]\" value=\"B O\/B Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_23\">B O\/B Tunnel<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_7\" name=\"wpforms[fields][8][]\" value=\"A Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_7\">A Tunnel<\/label><\/li><li class=\"choice-8 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_8\" name=\"wpforms[fields][8][]\" value=\"B Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_8\">B Tunnel<\/label><\/li><li class=\"choice-9 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_9\" name=\"wpforms[fields][8][]\" value=\"X Tunnel\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_9\">X Tunnel<\/label><\/li><li class=\"choice-10 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_10\" name=\"wpforms[fields][8][]\" value=\"A Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_10\">A Hydro<\/label><\/li><li class=\"choice-17 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_17\" name=\"wpforms[fields][8][]\" value=\"B Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_17\">B Hydro<\/label><\/li><li class=\"choice-16 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_16\" name=\"wpforms[fields][8][]\" value=\"C Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_16\">C Hydro<\/label><\/li><li class=\"choice-15 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_15\" name=\"wpforms[fields][8][]\" value=\"X Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_15\">X Hydro<\/label><\/li><li class=\"choice-14 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_14\" name=\"wpforms[fields][8][]\" value=\"M Hydro\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_14\">M Hydro<\/label><\/li><li class=\"choice-13 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_13\" name=\"wpforms[fields][8][]\" value=\"A Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_13\">A Mono<\/label><\/li><li class=\"choice-12 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_12\" name=\"wpforms[fields][8][]\" value=\"B Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_12\">B Mono<\/label><\/li><li class=\"choice-11 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_11\" name=\"wpforms[fields][8][]\" value=\"C Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_11\">C Mono<\/label><\/li><li class=\"choice-21 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_21\" name=\"wpforms[fields][8][]\" value=\"X Mono\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_21\">X Mono<\/label><\/li><li class=\"choice-20 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_20\" name=\"wpforms[fields][8][]\" value=\"1\/8 Scale\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_20\">1\/8 Scale<\/label><\/li><li class=\"choice-19 depth-1\"><input type=\"checkbox\" id=\"wpforms-2268-field_8_19\" name=\"wpforms[fields][8][]\" value=\"Thunder Boat\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-2268-field_8_19\">Thunder Boat<\/label><\/li><\/ul><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"2268\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages\/2270\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-2268\" class=\"wpforms-submit\" data-alt-text=\"Sending\u2026\" data-submit-text=\"Submit\" aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><\/div><\/form><\/div>  <!-- .wpforms-container -->\n\n\n<hr class=\"wp-block-separator has-css-opacity is-style-wide\"\/>\n\n\n\n<p class=\"has-text-align-center\"><strong>You can also load the above form on your mobile device using the QR Code below.<\/strong><\/p>\n\n\n\n<p>HOW to use:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Simply initiate the camera on your mobile phone<\/li>\n\n\n\n<li> Move it in front of the QR code so that you see it focus on the QR code and automatically an Open box will appear on your screen, either in the top or bottom section depending on brand of phone. When the box appears you are free to move away from of the QR Code, it will stay on your screen until you TAP it to open the application.<\/li>\n\n\n\n<li>You will be redirected to our web site and the registration form will then appear ready for you to fill in all of your required details. <\/li>\n\n\n\n<li>If you are an <strong>AMPBA member<\/strong> you must tap the Submit button to record your details and pay your entry fee.  If you are having trouble you can email the committee for help at committee@mbcofnsw.com. Or ring a member or friend who may know what to do.<\/li>\n<\/ol>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"338\" height=\"338\" src=\"https:\/\/mbcofnsw.com\/wp-content\/uploads\/2020\/12\/image-1.png\" alt=\"\" class=\"wp-image-2318\" srcset=\"https:\/\/mbcofnsw.com\/wp-content\/uploads\/2020\/12\/image-1.png 338w, https:\/\/mbcofnsw.com\/wp-content\/uploads\/2020\/12\/image-1-300x300.png 300w, https:\/\/mbcofnsw.com\/wp-content\/uploads\/2020\/12\/image-1-150x150.png 150w\" sizes=\"auto, (max-width: 338px) 100vw, 338px\" \/><\/figure><\/div>\n\n\n<p>Your form will be automatically emailed to the committee<\/p>\n\n\n\n<p>Thank you and enjoy your time with us.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You can also load the above form on your mobile device using the QR Code below. HOW to use: Your form will be automatically emailed to the committee Thank you and enjoy your time with us.<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":25,"menu_order":1,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2270","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages\/2270","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2270"}],"version-history":[{"count":10,"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages\/2270\/revisions"}],"predecessor-version":[{"id":2662,"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages\/2270\/revisions\/2662"}],"up":[{"embeddable":true,"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=\/wp\/v2\/pages\/25"}],"wp:attachment":[{"href":"https:\/\/mbcofnsw.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2270"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}