Scottish Cross Country Championship Round 4: Forrest Estate Internet Entry Form

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

Minimum Entry will be assessed on Friday 26th May 2017 at 23:59, when the reduced rate for entries closes.

Entry Secretary: Helen Gentleman

SBHR Entries, 1 Hallyards Farm Cottages, Kirkliston, Edinburgh, EH29 9DZ

E-Mail:sccc-entries@scottish-hillrally.co.uk

The event will be held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA), the Supplementary Regulations, and any written instructions the Organisers may issue for the event.

Welcome to The Scottish Cross Country Championship Forrest Estate Comp Safari Online Entry system. Please follow the steps below to enter the event.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
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.
Payment is by Paypal. When you submit your entry you will be taken to Paypal to complete your payment.
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.
If you don't receive a response within three days of the expected payment date, or if you have any other questions, please e-mail sccc-entries@scottish-hillrally.co.uk

All the fields with a red background must be filled in, or you will not be able to continue. If you do not have all the information to hand, or propose to come back to pay later, PLEASE DO NOT PRESS SUBMIT - on your return you will have to re-enter your data again...

Please note final instructions will only be sent by email.

Document Addressing
E-Mail address for communication
Real Name of this person
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
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
2nd Driver (if required)
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship

Car
Make
Model
Colour
Suspension Type	Live Axle Independent
Engine Capacity
Fuel Type	Petrol/LPG Diesel
Forced Induction	No Yes
Land Rover 200/300 tdi engine?	Yes No
Class	Class A - Standard Production Vehicles Class B - Super Production Vehicles less than 1800cc, incl. SUTVs Class C - Super Production Vehicles 1800cc and over Class D - Prototype Vehicles, Live Axle, Petrol/LPG less than 4000cc, 4WD Class E - Prototype Vehicles, Live Axle, Petrol/LPG 4000cc and over, 4WD Class F - Prototype Vehicles, Independent Suspension, Petrol/LPG less than 4000cc, 4WD Class G - Prototype Vehicles, Independent Suspension, Petrol/LPG 4000cc and over, 4WD Class H - Prototype Vehicles, Diesel, 4WD Class I - Prototype Vehicles, 2WD
Proposed Competition Car 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
Scottish Cross Country Championship
Are you registered?	Yes No
Are you part of a team entry?	Yes No
Inter-Association Cross Country Event
Are you registered?	Yes No
Are you part of a team entry?	Yes No
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 2nd Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Inter-Association Event - Please complete if you are part of a team nominated by your Regional Association
Who else is in your Team?
Which MSA Regional Association are you representing?	Association of Central Southern Motor Clubs Association of Eastern Motor Clubs Association of Northern Car Clubs Association of North East & Cumbria Car Clubs Association of Northern Ireland Car Clubs Association of North Western Car Clubs Association of South Eastern Motor Clubs Association of South Western Motor Clubs Association of West Midland Motor Clubs East Midlands Association of Motor Clubs Scottish Association of Car Clubs The Welsh Association of Motor Clubs
Which Team are you part of for your Association?	Team 1 Team 2 Team 3 Reserve
Are you the Team Captain?	No Yes
Fees - see above for how to pay
Entry Fee	£
Club Membership	£
Total Money to be sent	£
Payment Method and Details	Bank Transfer PayPal I will contact the Secretary of the Meeting direct and understand my entry will not count until payment is received
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Competition Licence Number
Competition Licence Issuer

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:

1. I have been given an opportunity to read the General Regulations of the Motor Sports Association and the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit and competent to take part in the event. I understand that motorsport is 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.

2. 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 serpective officers, servants, representatives and agenct (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. 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 the Event.

3. 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.

4. State your age if you are under 18.

5. If I am the Parent or Guardian of the driver I understand that I shall have the right to be present during any procedure being carried out under the Supplementary Regulations issued for this event and the General Regulations of the MSA. As the Parent/Guardian I confirm that I have acquainted myself with the MSA General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those Regulations (and any subsequent alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Part 3, Appendix 1. Note: Where the Parent is not present there must be a Guardian who must produce a written and signed authorisation from the Parent/Guardian to act as their representative.

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

7. I have read and fully understood the Procedure for Control of Drugs and Alcohol as contained in the Competitors’ and Officials’ Yearbook Regulations H39, D35.1, G15.1.4 and have also fully familiarised myself with the information on the web sites referred to (www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti Doping Rules which have been adopted by the MSA (as amended). Further, if I am counter-signing as the Parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UKAD Code Art 5.6.2) I hereby confirm that I give such consent for the minor concerned to be so tested.

8. I hereby agree to abide by the MSA Child Protection Policy and Guidelines and the National Sporting Code of Conduct.

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