FIA Girls on Track Interest Form - 2023 Jakarta E-Prix

FIA Girls on Track Interest Form - Jakarta E-Prix

FIA Girls On Track aims to increase the percentage of young women in motorsport by inviting girls aged 12-18 to discover the different career opportunities within motorsport.

Coming to the 2023 Jakarta E-Prix on Friday 2 June, we're looking for girls aged 12-18 to join us for a unique, educational, behind-the-scenes experience! The activity is free and participants should arrive at venue before 10am on Friday 2 June 2023. Use this form to register your interest and the FIA Girls on Track team will contact you to finalise your participation. The deadline to register is Friday 19 May 2023.

Participants will be selected based on the answers provided. The information received through this form will be used solely for the purpose of contacting for this activity and will be deleted after the event.

Indicate who is completing the form*

Select or enter value

First name of parent or guardian*

Please complete this section with the parent or guardian that will be in attendance with you on the day

Surname of parent or guardian*

Please complete this section with the parent or guardian that will be in attendance with you on the day

Contact Email Address*

Please complete this section with the email address you would like to be contacted on if you are successful

Contact Email Address*

Please re-enter your email address here

Indicate the number of girls you are interested in enrolling*

Select

First name*

Surname*

Date of Birth*

Please note that you must be between 12 and 18 years old

Do you have any access or disability requirements that you would like to report to Formula E?

What race or ethnicity best describes you?

Select or enter value

Other

Please provide a reason why you would love to be a part of Girls on Track*

First name*

Surname*

Date of Birth*

Please note that you must be between 12 and 18 years old

Do you have any access or disability requirements that you would like to report to Formula E?

What race or ethnicity best describes you?

Select or enter value

Other

Please provide a reason why you would love to be a part of Girls on Track*

First name*

Surname*

Date of Birth*

Please note that you must be between 12 and 18 years old

Do you have any access or disability requirements that you would like to report to Formula E?

What race or ethnicity best describes you?

Select or enter value

Other

Please provide a reason why you would love to be a part of Girls on Track*

How did you hear about the Girls on Track program?

Select or enter value

If other, please indicate it here

Check the box if you agree to photos being taken during the day

All photographs taken will be used for promotional purposes.

I would like to be contacted by Formula E Operations Limited in relation to promotional or marketing activities relating specifically to the FIA Girls on Track programme.

Minor Waiver of Liability*

Click on link below to sign the waiver. Once completed, please download a version and attach here

https://na3.docusign.net/Member/PowerFormSigning.aspx?PowerFormId=b1e19b22-35ca-41c3-8637-d52e582c6350&env=na3&acct=cb89ad15-8258-4b41-91c7-320c68163b28&v=2

Drag and drop files here or

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