Promenade Stages Rally 2017 Internet Entry Form

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

Entries Close for seeding on Friday 18th August 2017

Entries Secretary - Ann McCormack 99 Marina Village, Preston Brook, Runcorn, Cheshire, WA7 3BH

(E) wallaseyentries@yahoo.com

(M) 0796 108 6280

The event is held under the General Regulations of the Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA), the Supplementary Regulations, and any written instructions that the organising club may issue for the event.

Welcome to the Accident Advice Solicitors, Loss Insurance Brokers Promenade Stages Rally 2017 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.

All the fields with a red background must be filled in, or you will not be able to continue. Please avoid TBA/TBC wherever possible.

 

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Telephone Number
Competition Licence Number
Licence Grade
E-Mail Address
Club
Gender
Novice
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Telephone Number
Competition Licence Number
Licence Grade
E-Mail Address
Club
Gender
Novice
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Registration Number
Engine Capacity
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
#1 Additional Car/Motorhome/Caravan in Service Area
Make
Model
Colour
Registration Number
#2 Additional Car/Motorhome/Caravan in Service Area
Make
Model
Colour
Registration Number
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence.
If you have an entrant with an entrant's licence,
please give details later.
Championships
Association of North Western Car Clubs Championships 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANCC Stage Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
SD(34) Motorsport Group Championships 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
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 95 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Marshal Fund£
1 Extra Vehicle £20£
2 Extra Vehicles £40£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Competition Licence Number
Programme / Web Site
Please give information on you & your car for possible use in any pre-event publicity & the event programme

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.'

Web Entries System provided by rallies.info