St Wilfrids Classic Rally 2017 Internet Entry Form

Entries Close for seeding at midnight on the 30 July 2017.

Entries Secretary: Charlotte Wainwright
Telephone 01845 400234
E-mail: StWilfsES@riponmotorsportclub.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 St Wilfrids Classic 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: Charlotte Wainwright, 35 Herriot Way, Thirsk, North Yorkshire, YO7 1FL
  4. Alternatively payment may be made electronically to - Ripon Motor Sport Club -  Sort Code 05 07 17 - Account Number 35734372  - 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 StWilfsES@riponmotorsportclub.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 St Wilfrids 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
Class

If using your own insurance

Insurer's Name

Broker or Insurer's Address
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
HRCR Clubmans Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANWCC Historic Road Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANCC Northern Classic 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 ClubYearTypeOverall PositionClass Position
Scrutineering
When would you prefer to scrutineer? Saturday PM
Sunday AM Limited numbers available
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
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
Waiver

Does the car require an MSA waiver from R18.2 under R19.5? If so why?

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.

Web Entries System provided by rallies.info