Riponian Stages Rally 2017 Internet Entry Form

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

Entries Close for seeding at Noon on 11th February 2017

Please note the Entry Fee is £490.00

Entries Secretary: Yvonne Wainwright 

Telephone 01765 640546
E-mail: Entries@Riponian.co.uk

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

Welcome to the Riponian 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.
  3. Then please send a Cheque made out to 'Ripon Motor Sport Club Ltd' to the entry secretary: Yvonne Wainwright, 13 Beech Close, Baldersby, Thirsk, North Yorkshire, YO7 4QB (cheques will be banked on 13th February 2017 and must be cleared by 17th February 2017)
  4. Alternatively payment may be made electronically to - Ripon Motor Sport Club -  Sort Code 05 07 17 - Account Number 35617330  - Account name Ripon Motor Sport Club. PLEASE use Drivers full name as reference.
  5. Within 24 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.
  6. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail Entries@Riponian.co.uk

Competitors under the age of 18 will require the signature of their parent or guardian as Guarantor. A Guarantor is expected to attend the event and sign-on as an entrant. If they are unable to be present a representative can attend, but must produce the Guarantor's written and signed authorisation to act on their behalf.

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.

All the data entered on this page will be stored on a computer for the purposes of administering the entries for the Riponian Stages Rally 2017, and will not be passed to any third parties.

 

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
E-Mail Address
Club
Date of Birth
Nationality
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
E-Mail Address
Club
Date of Birth
Nationality
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
Four Wheel Drive
Class
In Car Camera Request (Yes / No)

If using your own insurance

Insurer's Name

Broker or Insurer's Address
Service vehicle details
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Management vehicle details
Make
Model
Colour
Registration Number
Contact Name
Contact 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
ANCC Stage Rally Championship 2017
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
SG Petch ANECCC Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANWCC Forest Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Alexander Calder Financial EMAMC Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Northern Forest Challenge
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Motoscope Northern Historic Gravel Rally Championship
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 Rallies
Event Name and ClubYearTypeSurfaceOverall PositionClass Position
Seeding - Competitor Opinion
Out of 50 entries, where do you think you should be seeded?
Early Road Book
Would you like an electronic copy of the road book sent with final instructions?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Management Service£
Support The Marshals Stickers£
Total Money to be sent£
Payment Method and Details
(Cheques will be banked on 13th Feb)
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
Comments

Extra comments you feel might be relevant for seeding or about your entry

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.

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