Document Addressing E-Mail address for communication Real Name of this person Driver Full Name Address Post Code Home Town Telephone Number Mobile Number Competition Licence Number E-Mail Address Club Date of Birth Nationality Driver Publicity Any other information Driver's Parent or Guardian (under 18 only) Name Address (if different) Post Code Telephone Number Relationship Navigator Full Name Address Post Code Home Town Telephone Number Mobile Number Competition Licence Number E-Mail Address Club Date of Birth Nationality Navigator Publicity Any other information Navigator'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 MSA Waiver required if a Catagory 3 or 4 vehicle and has any of the following:
More than four cylinders
More than two carburettor chokes
More than one camshaft per bank of cylinders
Forced Induction
No Yes - Please list items your vehicle has in the text box at the end of this entry formCategories
Historic Category 1 Road Rally Cars.
Cars of a specification valid before 1 January 1968
Historic Category 2 Road Rally Car. Cars of a
specification valid between 1 January 1968 and 31
December 1974.
Category 2 classes include all pre-1968 Porsche 911 cars
Historic Category 3 Road Rally Cars. Cars of a
specification valid between 1 January 1975 and 31
December 1981, compliant with their FIA Group 1 or 3
homologation papers, or be a Series Production Car,
Historic Category 4 Road Rally Cars. Cars of a
specification valid between 1 January 1982 and 31
December 1985, compliant with their FIA Group A or N
homologation papers, or be a Series Production Car,
A - All crews in pre-1960 Category 1 cars M1 - Masters in post 1960 Category 1 cars M2 - Masters in Category 2 cars or in a pre-1968 Porsche 911 car M3 - Masters in Category 3 cars M4 - Masters in Category 4 cars E1 - Experts in post 1960 Category 1 cars E2 - Experts in Category 2 cars or in a pre-1968 Porsche 911 car E3 - Experts in Category 3 cars E4 - Experts in Category 4 cars N1 - Novices in post 1960 Category 1 cars N2 - Novices in Category 2 cars or in a pre-1968 Porsche 911 car N3 - Novices in Category 3 cars N4 - Novices in Category 4 cars B1 - Beginners in post 1960 Category 1 cars B2 - Beginners in Category 2 cars or in a pre-1968 Porsche 911 car B3 - Beginners in Category 3 cars B4 - Beginners in Category 4 carsTripmeter make & model Insurers Name Address Championships The HRCR Hagerty Insurance Clubmans Championship Crew Members Registered None Driver Navigator BothDriver Championship Registration Number Navigator Championship Registration Number The HRCR Premier Rally Championship Crew Members Registered None Driver Navigator BothDriver Championship Registration Number Navigator Championship Registration Number The ANWCC Historic Road Rally Championship Crew Members Registered None Driver Navigator BothDriver Championship Registration Number Navigator Championship Registration Number The ANCC 2018 Northern Classic Championship. Crew Members Registered None Driver Navigator BothDriver Championship Registration Number Navigator Championship Registration Number HRCR Amazon Cars Challenge Cup The car must be an original period road car, not a new build replica using a period donor.
It must be driven from “home base” to the event, compete, and then be driven back to “home base”.
Only “E” marked “road” tyres permitted. No “competition use” or “rally use gravel/forest” tyres permitted. No YesChampionship 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 Navigator Name Address Post Code Telephone Number Relationship Will this person be attending the event? Seeding - Past Performance on Rallies Seeding - Competitor Opinion Out of 70 entries, where do you think you should be seeded? Scrutineering When would you prefer to scrutineer? Saturday evening Sunday morningFees - see above for how to pay Entry Fee £ Club Membership £0.00 - None 13.00 - One Single Membership 26.00 - Two Single Memberships 17.00 - One Family Membership 30.00 - One Single and one Family Membership 34.00 - Two Family Memberships Insurance £0.00 - Using own insurance 23.00 - Standard Premium Optional donation to marshal's fund £0.00 - No donation 5.00 - Donation to marshal's fund 10.00 - Donation to marshal's fund Map 99 £0.00 - None 7.99 - One 15.98 - Two Map 104 £0.00 - None 7.99 - One 15.98 - Two Basic Romer £0.00 - None 7.50 - One 15.00 - Two 22.50 - Three Total Money to be sent £ Payment Method Bank Transfer ChequeMarshal Details - if you know of a marshal who'd like to come and help, please give details here and our Chief Marshal will conatct them directly Name Telephone or Mobile Number Email Address Comments and Waiver details Anything else you'd like to tell us - include waiver request details
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.."