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The AutoMark Farrington Trophy Rally 2016 Internet Entry Form

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

Welcome to The AutoMark Farrington Trophy Road Rally
To be held on 26th / 27th November 2016

Entries Secretary:
Pete White, 13A Acacia Grove, West Kirby, Wirral, Merseyside. CH48 4DD
Tel: 0151 625 9226 - Mob: 07801 591302
E-mail: entrysec@farrington.cvmc.org.uk

The meeting will be governed by the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.

Entry Fee: £95.00

Please follow the steps below to enter the rally:

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
NB: This is now a National B Permit rally and both crew members require an MSA Competition Licence (Non-Race National B minimum).

Once you have hit the "Agree to the declaration and Enter the Rally" button at the end you will receive an automated response confirming that we have received your entry form. If you do not get an automatically generated email then please contact Pete White for advice.

There are two ways to pay for your entry; Bank Transfer or Cheque.

1. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:

Bank: HSBC
Sort Code: 40-19-12
Account No.: 21304909
Account Name: Clwyd Vale Motor Club
Reference: Your FULL Name & Ref Number

2. Or you can send a cheque to the Entries Secretary at the above address, made payable to 'Clwyd Vale Motor Club'.
(NO post-dated cheques please because they are banked on receipt)

PLEASE NOTE: If payment is being made by cheque, your entry will be reserved for 96 hours (4 days) pending our receipt of your payment. Your entry will be confirmed upon cheque clearance (This should be 3-5 days after cheque is banked). If payment is being made by BACS (Bank Transfer) then your entry will be confirmed as soon as funds are confirmed as received. (This SHOULD be pretty immediate, although, in some instances, BACS transfers can possibly take as much as 10 working days to clear).
Within 48 hours of us receiving the cleared payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.
WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

Document Addressing
E-Mail address for communication
Real Name of this person
To whom should we send Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Driver's Parent or Guardian (under 18's only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Navigator's Parent or Guardian (under 18's only)
Name
Address (if different)
Post Code
Telephone Number
Relationship

Vehicle Details and Class Entered

Make
Model
Colour
Registration Number
Engine Capacity
Class
Insurance Details
Own Insurance or Jelf, as applicable
Own Insurance Company Address
Championships
ANWCC Road Rally Championship(s)
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
Driver Next of Kin
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Navigator Next of Kin
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding Information - Last 5 years best results and include DNF's if appropriate
Event Name, Organising Club and Start NumberYearTypeOverall Position

Class Position

Fees - see above for how to pay
Entry Fee £
Clwyd Vale MC Membership £
Insurance £
Total Money to be sent£
Payment Method
Marshal Details
Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Experience (Highest)
Comments
Anything else you'd like to tell us.....

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

By clicking on the "Enter the Rally" button below you agree to the following (R 13.1): 
‘I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk’.
‘I understand that motorsport can be dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks. In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MSA and its associated clubs, the organisers, the track owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event including but not limited to damage to property, economic loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event’.
'I declare that to the best of my belief the driver(s) possess(es) the standard of competence necessary for an event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached'.

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