Document Addressing E-Mail address for communication Real Name of this person Whom should we send Finals and Results to? Driver Co-DriverDriver Full Name Address Post Code Home Town Telephone Number Mobile Number Competition Licence Number Competition Licence Issuer & Licence Grade E-Mail Address Club Place and Date of Birth Nationality Driver Publicity Hobbies Married? No of Children How Long Rallying? Notable Results Any other information 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 & Licence Grade E-Mail Address Club Place and Date of Birth Nationality Co-Driver Publicity Hobbies Married? No of Children How Long Rallying? Notable Results Any other information 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 No YesFour Wheel Drive No YesClass RC2 - S2000-Rally: 1.6T engine with a 28mm restrictor, S2000-Rally: 2.0 Atmospheric, Group R5 (VR5), Group NR4 over 2000cc (current N4) RGT - RGT Cars RC3 - Group A over 1600cc to 2000cc, Super 1600, R2 (atmo over 1600cc and up to 2000cc – VR2C and turbo over 1067cc and up to 1333cc – VR2C), R3 (atmo / over 1600 cc and up to 2000cc – VR3C and turbo over 1067cc and up to 1333cc – VR3C), R3 (turbo / up to 1620cc / nominal – VR3T), R3 (diesel / up to 2000c RC4 - Group A up to 1600cc, R2 (atmo over 1390cc and up to 1600cc – VR2B and turbo over 927cc and up to 1067cc – VR2B), Kit-car up to 1600cc, Group N over 1600cc and up to 2000cc RC5 - Group N up to 1600cc, R1 (atmo up to 1600cc – VR1A/VR1B and turbo up to 1067cc – VR1A/VR1B) BRC1 - S2000-Rally: 1.6T engine with 28mm restrictor, S2000-Rally: 2.0 atmospheric, Group R5 (VR5), Group R4 (VR4) BRCProd - BRC Production Cup - Group NR4 over 2000cc BRCJr - MSA Junior BRC - R2 (atmospheric over 1390cc up to 1600cc – VR2B and turbo over 927cc up to 1067cc – VR2B) CadetBRC - Cadet BRC - R2 (atmospheric over 1390cc up to 1600cc – Vauxhall ADAM Cup and Ford Fiesta R2T National and Ford Fiesta 1.6 R2 cars) BRC3 - Group A over 1600cc up to 2000cc, Super 1600, R2 (atmospheric over 1600cc up to 2000cc – VR2C and turbo over 1067cc up to 1333cc), R3 (atmospheric over 1600cc up to 2000cc – VR3C and turbo over 1067cc up to 1333cc), R3 (turbo up to 1620cc nominal – VR3T), R3 (diesel up to 2000cc nominal –VR3D) BRC4 - R2 (atmospheric over 1390cc up to 1600cc – VR2B and turbo over 927cc up to 1067cc), Group A up to 1600cc, Kit-car up to 1600cc, Group N over 1600cc up to 2000cc BRC5 - Group N up to 1600cc, R1 (atmospheric up to 1600cc – VR1A/VR1b and turbo up to 1067cc – VR1a/VR1B) Class 1 - NRC - All 2WD non-homologated cars up to 1450cc Class 2 - NRC - All 2WD non-homologated cars 1451cc up to 1650cc Class 3 - NRC - Front wheel drive non-homologated cars 1651cc up to 2050cc Class 4 - NRC - Rear wheel drive non-homologated cars 1651cc up to 2050cc Class 5 - NRC - All 2WD non-homologated cars over 2051cc Class 6 - NRC - Any 4WD car not classified in Class 7 Class 7 - NRC - Any derivative of FIA R5 car outwith its homologation Class LR - All Land Rovers NatBFive - National B Five NatBTwo - National B TwoIn Car Camera Request Insurers Name Address Service Vehicle Type of Vehicle
(please indicate make and model in the fields below) Car 4x4 Pick-up SWB Van LWB Van Motorhome OtherMake (if known) Model (if known) Registration Number Auxiliary Vehicle Type of Vehicle
(please indicate make and model in the fields below) Car 4x4 Pick-up SWB Van OtherMake (if known) Model (if known) Registration Number Sponsor Sponsor Name (Note: this sponsor does not need an entrant's licence. If you have an entrant with an entrant's licence, please give details later. Championships FIA Celtic Rally Trophy Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number MSA British Rally Championship Crew Members Registered None Driver Co-Driver BothDriver 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 Scrutineering & Recce When would you prefer to scrutineer?
Friday 27th April 14:00 - 20:00 14:00 to 15:00 15:00 to 16:00 16:00 to 17:00 17:00 to 18:00 18:00 to 19:00 19:00 to 20:00Participating in Recce? (Full BRC section only) No YesFees - see above for how to pay Entry Fee £1699.00 - Manufacturer Supported Entry 1149.00 - RC2, RGT, RC3, RC4, RC5, BRC 1, BRC 3, BRC 4, BRC 5, MSA Junior BRC, Cadet BRC, BRC Production Cup 1199.00 - AUXILIARY PLATE - RC2, RGT, RC3, RC4, RC5, BRC 1, BRC 3, BRC 4, BRC 5, MSA Junior BRC, Cadet BRC, BRC Production Cup 949.00 - National Rally Cup (BRC and Non-BRC Competitors) 1099.00 - National Rally Cup + Recce (BRC and Non-BRC Competitors) 799.00 - Land Rover 699.00 - National B Five 299.00 - National B Two Insurance £0.00 30.00 - Insurance Fee Guest/Sponsor Access Passes £0.00 50.00 Motorhome Plate £0.00 100.00 Colour Rally Map Book £0.00 - None 25.00 - One 50.00 - Two 75.00 - Three Marshals' Fund £ Richard Burns Foundation Donation £5.00 10.00 15.00 20.00 25.00 30.00 35.00 40.00 45.00 50.00 0.00 Full Colour Souvenir Programme £0.00 - None 4.00 - One 8.00 - Two 12.00 - Three 16.00 - Four Total Money to be sent £ Payment Method and Details Internet bankingEntrant (if applicable and not driver) Name Address Post Code Telephone Number Competition Licence Number Competition Licence Issuer Service Area
Do you wish to service next to any other competitor(s) or do you have any particular service area needs?
Please note we will do our best to accommodate your service requests but it may not be possible for us to allocate you a service bay next to the requested competitor(s).
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.
Note: Where the parent/guardian/guarantor is not present there must be a representative who must produce a written and signed authorisation to so act from the parent/guardian/guarantor as appropriate.