Jasper's Bakeries AGBO Stages 2019 Internet Entry Form

 

Jasper's Bakeries AGBO Stages 2019

Sunday 17th March 2019

Entries Secretary:

Clare Bird

38 Chestnut Drive

Erdington

Birmingham

B24 0DP

01212182332 / 07837212015

agbostagesrally@hotmail.co.uk

 Held under the General Regulations of Motorsport UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the Jasper's Bakeries AGBO Stages Rally 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. Pay your entry fees via online bank transfer (payment must be received within 48 hours of making your entry to secure your place).

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

Bank

Lloyds Bank

Sort Code

30-90-82

Account No.

13225768

Account Name

Owen Motoring Club Ltd

Reference

Driver's full name

IBAN

GB17LOYD30908213225768

BIC

LOYDGB21573

4. Within 24 hours of us receiving the payment for your entry you should receive a formal e-mail confirmation stating your entry as accepted from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

5. If you don't receive a response within 7 days (THERE MAY BE LONGER DELAY WITHIN THE FIRST 5 DAYS OF ENTRIES GOING LIVE) of the expected payment date, or if you have any other questions, please e-mail agbostagesrally@hotmail.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. Full driver and car details must be provided as a minimum.

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
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
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
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
Class
Person to be contacted in case of emergency for Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Person to be contacted in case of emergency for Co-Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies (NO ROAD RALLIES)
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 75 entries, where do you think you should be seeded?
Scrutineering
When would you like to scrutineer? Saturday 16th March, 11.00am - 3.30pm
Sunday 17th March, 5.30am - 7.15am
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing results for the event.

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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] so that they can contact you with a view to offering you videos and photos of you on the event. If you are happy to allow us to do this, please say so here.

Remember your entry is subject to receipt of the correct entry fee within 48 hours of this entry being submitted. 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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