Motorsportnews Circuit Rally Championship 2018/19 in a/w MSVR Internet Entry Form

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

Motorsport News Circuit Rally Championship

In Association with MSVR

Featuring the Michelin Cup

The Protyre Challenge

www.msnrallychamp.co.uk

Welcome to the exciting, forth year of this championship to be held over eight rounds at the following race circuits:

Oulton Park - 3rd November 2018
Cadwell Park - 18th November 2018
Knockhill - 8th & 9th December 2018
Brands Hatch - 19th January 2019
Snetterton - 16th February 2019
Donington Park - 3rd March 2019
Anglesey Circuit - 17th March 2019
Cadwell Park - 7th April 2019

Reserve Event at Anglesey Circuit 14th April 2019

With the championship benefiting from high profile partners Motorsport News, Motorsport Vision Racing, Coronado Controls, Michelin, Protyre, Vital Equipment, Beatsons Direct, David Auden Insurance, Graham Coffey & Co Solicitors, Swift Signs and Shirts, Smith & Jones Engineering and Hockly Motorsport coupled together provide British Rallying with a very exciting championship for the competitor and the ideal opportunity to display their skills in their Rally Cars - We truly believe we have a championship that might just help us find the next Richard Burns or Robert Reid.

Cementing its place as the national rally championship, Bolton-Le-Moors Car Club are sure you will really enjoy this Motorsport News Circuit Rally Championship in association with MSVR 2018/19, incorporating the Michelin Cup and Protyre Challenge.

Registration opens on 24th August 2018 @ 20:00

Championship Co-ordinator: Darren Spann

29 Ascot Road

Little Lever

Bolton

BL3 1EE

Telephone 01204 279924 (Between 19:00 and 21:00)

e-mail: cc@msnrallychamp.co.uk

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

Welcome to the "Motorsport News Circuit Rally Championship in a/w MSVR Featuring the Michelin Cup" online registration system. Please follow the steps below to enter the championship.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
Once you have hit the "Enter the Championship" button at the end you will receive an automated response confirming we have received your entry form.

There are several ways to pay your entry

PayPal
Cheque (To the Championship Co-ordinators address payable to Bolton-Le-Moors Car Club Ltd)
Cash (Delivery in person to the Champioship Co-ordinator)

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Bank	Santander
Sort Code	09-01-50
Account No.	04373782
Account Name	BOLTON LE MOORS CAR CLUB LTD
Reference	Your Full Name (Failure to provide this will delay your application)

Within 24 hours of us receiving the payment for your registration you should receive an e-mail confirming your entry from the Championship Co-ordinator. Note: Without payment your registration will not be valid (this includes reserves places).
If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail cc@msnrallychamp.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.

NOTE: SUBJECT TO MSA CONSENT

Document Addressing
E-Mail address for communication
Real Name of this person
Competitor
Full Name
Address
Post Code (Note this must match the post code you use for your event entries)
Home Town
Telephone Number
Mobile Number
Competition Licence Number (Note this must match the competiton licence number you use for your event entries)
E-Mail Address
Are you a Driver or a Co-Driver?	Driver Co-Driver
Date of Birth
Competitors Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Cups / Challenges
Would you like to take participate in the Michelin Cup? Note: Drivers only championship for those using Michelin Tyres only	Yes No
Would you like to particiapte in the Protyre Challenge Note: Drivers only championship for Class A-C (inc MX5 Class) using tyres bought from Protyre	Yes No

Car
Make
Model
Colour
Registration Number
Engine Capacity
Year
Forced Induction / Rotary	No Yes
Four Wheel Drive	No Yes
Class	A - Cars up to and including 1400cc B - Cars over 1401cc but no more than 1600cc C - Cars over 1601cc but no more than 2000cc D1 - Cars over 2001cc but no more than 3000cc (2WD) D2 - Cars over 2001cc (4WD) MX5 - Mazda MX5's Only between 1600 and 1800cc MSA GT - Production GT Cars *Subject to MSA Rule Publication
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence)
Person to be contacted in case of serious accident to competitor
Name
Address
Post Code
Telephone Number
Relationship to competitor
Fees - see above for how to pay
Registration Fee	£
Decal Pack Postage	£
Official Photos - Please select your required photo package. Platinum - All eight rounds covered, min 10 images per round Gold - Four rounds covered, min 8 images per round Silver - One image from each round. Bronze - Per round price, min 7 images.	£
Total Money to be sent	£
Payment Method and Details	Paypal (Ref Competitors Full Name) Bank Transfer (Ref Competitors Full Name) Cheque (Please quote on rear Competitors Full Name) Cash
Privacy and Permissions
We take your privacy seriously and will only use your personal information to administer your registration, including providing a public Registration List and sending you emails in connection with your registration. Some of your information will be passed on to the organisation providing results for the championship (rallies.info). We will also share your contact information with Motorsport Vision Racing, Motorsport News and Michelin so that we can administer prizes, where won and for press related matters. In addition, your name, competition licence number and post code will be used to match your entry into the championship with your entries into each of the relevant events. For events using the rallies.info entry system this is all handled by rallies.info internally. For other events, the information from the event entry is shared with rallies.info to allow the connection to be made. This process is necessary to allow the championship results to be calculated accurately.
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.	No Yes
We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to Torque and SMJ Photography so that they can contact you with a view to offering you videos and photos of you on the events. If you are happy to allow us to do this, please say so here.	No Yes

Remember your registration is subject to receipt of the correct registration fee. An automated acknowledgement is NOT confirmation of entry. Rejected registrations and registrations held in abeyance will be informed by e-mail to the address given above.

By clicking on the "Enter the Championship" 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, the championship regulations for this championship, Michelin Cup and Protyre Challenge and agree to be bound by them. I declare that I am physically and mentally fit to take part in the championship, Michelin Cup and Protyre Challenge 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 Championship, Michelin Cup and Protyre Challenge or the events are insured against loss or injury caused through their negligence.."

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