Thank you choosing us for your driver training.                                           

Please note that Full Payment is required at the time of confirmation of the booking. 
We have card facilities available.

Email: info@midvaalraceway.co.za

Send Us Your Drivers Information!

Driver Training Form Entry

Choice of Course:   Enter Introduction or Advanced

Drivers Information

Driver's Name: ***required field
Date of Birth: eg (10 Jan 1998) ***required field
Height:
Weight:
Telephone No: contact number during the day
Email Address: ***required field
Address:

 Date selection (Please provide alternative dates)

1st choice eg (10 Jan 1998)   ***required field
2nd choice eg (10 Jan 1998)***required field
If this is a surprise booking for a friend or relative, 
                     please fill in the info below as well. 
All confidential correspondence will be sent to the email address below.
Name
Telephone No: contact number during the day
Email Address:
Fax No:
Address:
Comments:
 

 

Contact info as follow:  

Office line (working hours)- 016 364 1277

Fax: 016 364 0795 
Fax2mail: 086 616 3508

Email: enter the form on the left.

Or Call Juandre on 060 529 1521

 

Kind regards and we hope to see you here soon.