Bruce Robinson Rally 2019 Internet Entry Form

Entries Close for seeding on Tuesday 5th February at 12noon.

Entries Secretary: Alison Faulkner
Bramble Cottage
Chapel Lane
Snitterby
Gainsborough
Lincolnshire
DN21 4TX

Telephone: 01673 818718   -   please leave a message.
e-mail: alisonfaulkner1@hotmail.co.uk

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

The regs for the event are available on our club website    http://lincolnmotorsport.co.uk/bruce-robinson-2/

Welcome to the Bruce Robinson 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. The entry fee is £90.  There are two ways to pay:
    1. 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 Plc
      Sort Code  30-95-05
      Account No.  00202142
      Account Name Lincoln Motor Cycle & Car Club Ltd
      Reference Driver's full name.
    2. You can send a cheque, made payable to 'Lincoln Motor Cycle & Car Club Ltd' to the Entries Secretary at the address above
  4. Within 48 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.
  5. If you don't receive a response within 4 days of the expected payment date, or if you have any other questions, please e-mail alisonfaulkner1@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.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
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
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
Championships
ANCC Road Rally Championship 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANEMMC Road Rally Championship 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
EMAMC Road Rally Championship 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
HRCR Premier Rally Championship 2019
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 ClubYearTypeCrew MemberOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 40 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Optional Donation to Lincs & Notts Air Ambulance£
Total Money to be sent£
Payment Method and Details
Marshal Details
Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Experience
Comments
Anything else you'd like to tell us
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.

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 Motorsport UK 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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