Rali Bro Caron 2018 Internet Entry Form

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

Welcome to the online entry system for the Rali Bro Caron 2018.

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

Entries Close for seeding at 21.00hrs on Sunday 18th February 2018. If vacancies are available in the relevant class then entries will be accepted up to 16.00hrs on Wednesday 21st February 2018.

Please follow the steps below to enter the rally:

Complete all the fields in the form below. The fields with red backgrounds are mandatory and 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 but send them as soon as you do.

Once you have hit the 'Enter the Event' button at the end you will receive an automated response confirming we have received your entry form.

PLEASE NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE ACCEPTED

There are two ways to pay:

1 To pay using Paypal enter your credit or debit card details (no account required, no charge will be added). 

Payments by paypal should be to lampeterdmc@gmail.com

For Paypal payments the Driver and Navigators names should be used as the reference

Entrants wishing to pay by Cheque should first email the entries secretary to obtain the postal address by return email. Please make Cheques payable to 'RALI BRO CARON' and post to the Entries Secretary. No Cheque entries will be accepted after 9th February 2018. Post dated cheques are not accepted. Bounced cheques will not be re-presented, and the entry will be refused.

If you wish to use JELF Insurance but are unable to comply with all points of Jelf Insurance Partnership's Declaration, you will be required to complete a Declaration Form (see Supplementary Regulations). A letter of acceptance will be issued and any loadings must be paid for at signing on with cash only.

If you intend to pay for JELF Insurance on the night please put 'ON THE NIGHT' in the Insurers 'Name and Policy No' box and select '0.00 - Own Insurance' in the Fees section.

When we have received payment you should receive an e-mail confirming your entry. If you pay by cheque it might take up to 14 days for it to clear. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please contact the Entries Secretary.

Entries Secretary: 

Greg Harrand

Email greg.21@live.co.uk   

Tel 01570 470622 (No calls after 21:00hrs please)

 

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
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
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
Registration Number
Engine Capacity
Class
Insurers (If using own insurance)
Name
Address
Championships
Welsh Association Road 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 (The best 4 results achieved in the last 5 years)
Event Name and ClubYearTypePlease list by Driver then NavigatorOverall PositionNo of Starters
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details

There are two methods of payment:

Paypal or Cheque:

Payments by paypal should be to lamperdmc@gmail.com

For Paypal payments the Driver and Navigators names should be used as the reference.

Entrants paying by cheque should email the entry secretary for the address to post cheques and entries to.

Cheques should be made payable to "Rali Bro Caron"

Marshal Details
Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Experience

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:

1      I have been given an 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 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.     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.

3.     The use of the vehicle hereby entered is covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by the law.

4.     I understand that should I at the time of any event in 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 Royal Automobile Club Motor Sports Association Ltd which has, following such declaration, issued a licence which permits me to do so.

5.     Any application form for a licence which was signed by a person under the age of 18 years was countersigned by that person’s parent/legal guardian/guarantor, whose full names and addresses have been given.

6.     If I am the Parent/Guardian/Guarantor of the driver/co-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/Guarantor 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/Guardian/Guarantor is not present there must be a representative who must produce a written and signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate.

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

8.     I undertake that at the time of the event to which this entry relates I shall have passed or am exempt from an ASN specified medical examination within the specified period. (H10.1.6)

9.      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 familiarised myself with the information on the websites referred to (www.ukad.org.ukand 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/Guardian/Guarantor of a minor then in addition to the deemed consent to the testing of that minor (Art 5.6.2) I hereby confirm that I give such consent for the minor concerned to be so tested.

Indemnity: 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 land owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (“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 this event.

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