Jack Frost Stages 2018 Internet Entry Form

Entries Close for seeding on 11th January at 19.30pm

Kerry Dartnall

10 Sudburn Ave

Staindrop

Darlington

DL2 3JX

Telephone: 07814492134

Email: cars.ddmc@gmail.com

 

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

Welcome to Darlington & DMC  Jack Frost Stages in association with Cartersport 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 is only 1 way to pay:-

If you have internet banking, you can arrange for the fees to be paid directly into our account.

Or you can go to your bank and pay monies in manually using the details below

Bank: Barclays

Sort Code: 20-25-29

A/C No: 20637041

Please include Drivers name as reference

 

  1. 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.
  2. 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 Cars.ddmc@gmail.com

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
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
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
Competition Licence Issuer
E-Mail Address
Club
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
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Championships
AS Performance North of England Tarmac Championship 2016
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
SG Petch ANECCC Stage Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANCC Stage 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
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 90 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Saturday PM 12.00 - 16.00
Sunday AM 6.30 - 8.00
Fees - see above for how to pay
Entry Fee £
Club Membership £
Extra Donation to the Marshals Fund£
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
Comments
Anything else you'd like to tell us

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: "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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