Garth Tyre & Auto Services MidSummer Caerwent 2017 Internet Entry Form

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

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Welcome to the Garth Tyre & Auto Services MidSummer Caerwent Rally On-line Entry Form.

Entries close for seeding on Thursday 22nd June.
Entries finally close on 29th June at midnight.

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations

Welcome to the Garth Tyre & Auto Services Midsummer Caerwent Online Entry System. Please follow the steps below to enter the rally.

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory.
  2. Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.
  3. Our preferred payment method is to pay by Bank Transfer, account name "Caerwent Rally".  
    Bank Lloyds
    Sort Code 30-90-91
    Account No 01164478
    Please use DRIVERS SURNAME & CO DRIVERS SURNAME as reference.   If you are paying by cheque, please ensure that this is sent to the Entries Secretary at the address provided, made payable to "Caerwent Rally" and the crew members' names clearly written on the reverse                                                                                                   
  4. Within 72 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID AND YOU WILL DROP TO THE BOTTOM OF THE LIST.
  5. If you do not receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail saunders.shirley@googlemail.com

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for.

Thank you for your entry!

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Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
Driver
Full Name
Address
Contact Phone Number (preferably Mobile)
Competition Licence Number
E-Mail Address
Motor Club
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Telephone Number
Relationship
Co-Driver
Full Name
Address
Contact Phone Number (preferably Mobile)
Competition Licence Number
E-Mail Address
Motor Club
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Telephone Number
Relationship
Car
Make
Model
Colour
Engine Capacity
Class (see article 8)
Championships
J D Tyres WAMC Tarmacadam Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Mintex Old STAGER Historic Asphalt Stage Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
CMSGCC BP Motor Body Builders & Engineers Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
F1000 Junior 1000 Rally Challenge 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
F1000 Stage Rally Challenge 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies of Driver Only
Event NameYearSurfaceOverall PositionClass Position
Seeding - Competitor Opinion
Out of 75 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Saturday
Sunday
Fees - see above for how to pay
Entry Fee £
Club Membership £
Total Money to be sent£
Payment Method and Details

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.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: "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. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.

 I understand that should I at the time of this event be suffering from any disability whether permenent or temporary which is likely to affect prejudicially my normal control of my vehicle, I may not take part unless I have declared such disability to the ASN which has, following such decleration, issued a licence which permits me to do so.  

I declare that the use of the vehicle hereby enteredwill be covered by insurance by the law which is valid for such part of the event as shall take place on roads as defined by the law"

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