Rali Gogledd Cymru 2018 Internet Entry Form

Rali Gogledd Cymru 2018 

Sponsored by OSG Motorsport Rally Car Hire

 

The entry fee will be £95.00 which includes two full breakfasts

Entries Secretary – Gaynor Coughlan, Derwen, Rhewl Fawr Road, Penyffordd, Flintshire. CH8 9HJ

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 RALI GOGLEDD CYMRU 2018 On-line 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 three ways to pay -

Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. All entries must be made on the official entry form and accompanied by the appropriate fee.

WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. 

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.

In all cases where the applicant is under 18 years of age it is necessary that the application is countersigned by the Parent or Guardian. Proof of guardianship may be required (H7).  

Drivers must be at least 17 years old and hold a full RTA Licence for all Rallies (R5.3)

To cope with the smooth running of the event it is a condition of the entry, all entrants MUST complete their marshal’s details on the entry form. Failure to comply may result your entry being declined – NO EXCEPTIONS.

An entry accompanied by a post-dated cheque will be deemed not to have been acknowledged until the funds are cleared. Entry fees that fail to clear will require cash payment before the closing date of entries and may be subject to additional charges.

Withdrawn entries will be refunded less administration fees incurred at the organisers’ discretion if an entry is cancelled in writing or by email to the Entries Secretary before the closing date of entries. No verbal or SMS text cancellations will be accepted. After that date entries will be refunded at the organisers’ discretion.

Membership to Rhyl & District Motor Club is also available at £10.00 per person and valid from the period of application until 31st December 2018. Competitors wishing to join the club for the event will be limited to Single Membership Only.

The maximum entry for the event is 60. The minimum is 40 entries. The minimum for each class should be 10. Should any of the figures not be reached, the organisers have the right to either cancel the meeting, or amalgamate classes as necessary. The first 60 paid entries will be accepted on receipt of payment of entry.

Document Addressing
E-Mail address for communication
Real Name of this person
Who should we send Finals and Results to?
Finals and Results will be available ONLINE and will also be EMAILED to the email address above. Should you require PAPER COPY of the results, please indicate here
Driver
Full Name
Address
Post Code
Home Town
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
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Navigator's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car Details
Make
Model
Colour
Registration Number
Engine Capacity
Class
Insurers - if not using Jelf Insurance Scheme
Insurers Name (not Agent or Broker) & Policy Number
Address
Championships
Rhyl & District Motor Club Championship Contender
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
ANWCC Championship Contender
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
SD34 Group Road Rally Championship Contender
Crew Members Registered
Driver Championship Registration Number
Navigator Championship Registration Number
Glynne Edwards Championship Contender
Crew Members Registered
Driver Championship Registration Number
Navigator 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
Fees - see above for how to pay
Entry Fee £
Club Membership (if required) £
Insurance £
Total Money to be sent£
Payment Method and Details
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.

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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