'Cwrt Garage' Ystwyth Targa Rally 2017 Internet Entry Form

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

Entries Close for seeding on Saturday 8th July 2017

Entries Secretary: Linzi Evans
Maesteg, Penrhiw, Llanrhystud, Ceredigion, SY23 5EJ

Telephone: 01974 272479  (Do not phone after 9pm)

e-mail: linzijoppa@btinternet.com

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations (Cwrt Garage Ystwyth Targa Rally 2017 Regs)

Welcome to the Cwrt Garage Ystwyth Targa 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.    There are then two ways to pay

1.    Our preferred payment method is BACS where you should provide the driver's full name as a reference. The details are:-

Bank:              HSBC

Sort Code:      40-08-09

Account No:   41527487

Reference:     Driver's full name

2.    You can send a cheque, made payable to 'Ystwyth Rally' to the Entries Secretary at the address above.

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

4.    If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail rallyworld@btinternet.com with your query

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.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
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
Mobile Number
Competition Licence Number
E-Mail Address
Club
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
Class (Expert / Semi-Expert / Novice)
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 ClubYearTypeOverall Position
Fees
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details - Cheque or Bank Transfer

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.

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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