2023 / 2024 Circuit Rally Championship

Document Addressing

E-Mail address for communication This must be filled in to continue

Real Name of this person This must be filled in to continue

Competitor

Full Name This must be filled in to continue

Address This must be filled in to continue

Post Code (Note this must match the post code you use for your event entries) This must be filled in to continue

Home Town This must be filled in to continue

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number (Note this must match the competiton licence number you use for your event entries) This must be filled in to continue

E-Mail Address This must be filled in to continue

Are you a Driver or a Co-Driver? This must be filled in to continue

Driver

Co-Driver

Date of Birth

Car

Make

Model

Colour

Registration Number

Engine Capacity in CC

Year

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

Class This must be filled in to continue

A - FIA Rally2, R5 and S2000 specification cars and any derivatives therefrom, plus World Rally cars with a sequential gearbox.

B - 4-wheel drive cars over 2000cc or forced induction engines over 1500cc that are not eligible for Class A, including FIA Rally3 cars.

C - 2-wheel drive cars with normally aspirated engines over 2000cc or forced induction engines over 1500cc plus all FIA RGT cars.

D - Cars with normally aspirated engines over 1600cc up to 2000cc or forced induction engines up to 1500cc plus all FIA Rally4 or R2 cars with forced induction.

E - Cars with normally aspirated engines over 1400cc up to 1600cc or forced induction engines up to 1000cc not included in Class D, plus all FIA Rally5 cars.

F - Cars with normally aspirated engines up to 1400cc plus all cars complying with Motorsport UK classes 9, 10, 11, 12 & 13.

Sponsor

Sponsor Name (Note: this sponsor does not need an entrant's licence)

Person to be contacted in case of serious accident to competitor

Name This must be filled in to continue

Address

Post Code

Mobile Number This must be filled in to continue

Relationship to competitor

Fees - see above for how to pay

Registration Fee

£

Decal Postage

£

Total Money to be sent

£

Payment Method and Details

Bank Transfer (Ref Competitors Full Name)

Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your registration, including providing a public Registration List and sending you emails in connection with your registration. Some of your information will be passed on to the organisation providing results for the championship.

In addition, your name, competition licence number and post code will be used to match your entry into the championship with your entries into each of the relevant events. This process is necessary to allow the championship results to be calculated accurately.

We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.

Yes

No

We would also like to be allowed to pass on your name, address, postcode and email address to the event media so that they can contact you with a view to offering you videos and photos of you on the events. If you are happy to allow us to do this, please say so here.

Yes

No

The event is not currently open for entries

Account Name:	Dukeries MC No2 Account
Account Sort Code:	08-92-99
Account Number:	63099074
Reference:	Competitors First Name and Last Name

2023 / 2024 Circuit Rally Championship - Internet Entry Form

Entries to this event are now closed and this page is for record only

www.circuitrally.co.uk