Tour of the Cotswolds 16th September 2018 Internet Entry Form

 ONLINE ENTRY FOR THE TOUR OF THE COTSWOLDS 

Entries Secretary:

Jan Robbins

4 Tamarisk Close

Up Hatherley

Cheltenham

Gloucestershire

GL51 3WL

 

 Telephone 07853 335394

 e-mail: toc@cleeve-motorsport-club.co.uk

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

Welcome to the Tour of The Cotswolds Online Entry system. Please follow the steps below to enter the Run.

 Complete all the fields in the form below. The fields with red backgrounds are mandatory.

  1. 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.
  2. If joining Cleeve Motorsport Club submit your details here (opens in new window)
  3. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Sort Code

60-05-16

Account No.

19041616

Account Name

Cleeve Motorsport Club

Reference

Please use Your Surname & Receipt No on Confirmation Email.

 

  1. Alternately pay by Paypal or send a cheque payable to Cleeve Motorsport Club to the Entries Secretary at the address above
  2. When payment has been received you will receive an e-mail confirming your entry. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID If you don't receive a response within 7 days of the expected payment date, or if you have any other questions, please e-mail toc@cleeve-motorsprt-club.co.uk

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. 

 

Primary Contact Details
E-Mail address for communication
Real Name of this person
Whom should we send Final Instructions to?
Driver
Please ensure you enter both your First Name & Surname as both are required.
Address
Postcode
Home Town
Telephone Number
Mobile Number
Age Over/Under 18, If you are under 18 you will be sent a seperate form for Parental consent
E-Mail Address
Club
Passenger 1
Please ensure you enter both your First Name & Surname.
Address
Postcode
Home Town
Telephone Number
Mobile Number
Age Over/Under 18, If you are under 18 you will be sent a seperate form for parental consent 
E-Mail Address
Car
Make
Model
Colour
Registration Number
Engine Capacity
Year
Person to be contacted in case of serious accident to Driver
Name
Address
Postcode
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of serious accident to Passenger 1
Name
Address
Postcode
Telephone Number
Relationship
Will this person be attending the event?
Full English Breakfast (One Per Person)
Full English Breakfast (One Per Person)
Fees - see above for how to pay
Entry Fee £
Club Membership £
Extra Passengers including breakfast£
Total Money to be sent£
Payment Method and Details
2nd Passenger Details
Please ensure you enter both First Name & Surname as both are required for personal identification pass
Address
Postcode
3rd Passenger Details
Please ensure you enter both First Name & Surname as both are required for personal idetification pass
Address
Postcode
Comments
If you would like to run in the company of another entrant, please enter the entrant (s) Name (s) here
Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing results for the event.

We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to our photographer so that they can contact you with a view to offering you videos and photos of you on the event. If you are happy to allow us to do this, please say so here.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. 

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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