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R.A.C Rally 2017 Internet Entry Form

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

Entries Secretary:

Kate & Rik Hinchliffe
36 Luck Lane
Marsh
Huddersfield
West Yorkshire
HD3 4AB

Telephone: (H) 01484 318689 (M) 07979 942574 & 07776 038761
E-Mail: entries.r.a.c@gmail.com

Welcome to the Roger Albert Clark Rally, 10th- 13th November 2017 

Seeding will take place on 25th October 2017, Entries Close at 12:00 on 1st  November 2017. Late entries will be accepted at the organisers discretion

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

1. You can send a cheque, made payable to 'Roger Albert Clark Rally Motor Club Ltd' to the Entries Secretary at the address above. Please include drivers full name on back of cheque . Competitors wishing to pay by cheque can do so in full or please refer to Article 8.9 of the regulations for staged payments. Cheques should reach the Entries Secretary within 5 days of the entry being made and no later than Wednesday 1st November 2017.

2. Competitors wishing to make direct payments into the bank should use the following account details:

Sort Code  80-12-08  Account Number 06002797 Reference should contain the drivers full name.

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

 Competition Licences must be obtained from the MSA prior to the event. Licence applications cannot be accepted at documentaion 
Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
Nationality
Driver Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
Nationality
Co-Driver Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
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
Year
Forced Induction
Class
In Car Camera Request
FIA Homologation Number
Insurers
Name
Address
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 Rallies
Event Name and ClubYearTypeSurfaceOverall Position

Class Position

Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Rally Maps By Bobby Willis£
Additional 1:25,000 Stage Maps£
Additional Competitor Overview Maps£
Additional Service Overview Maps£
Management Pack (Maximum of two)£
Support Vehicle£
Donation to Marshals £? up to you.£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
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.

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."

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