Marshall & Hicks Print Ltd Tour of Caerwent 2019

Document Addressing

E-Mail address for communication This must be filled in to continue

Real Name of this person This must be filled in to continue

Whom should we send Finals and Results to?

Driver

Co-Driver

Both

Driver

Full Name This must be filled in to continue

Address You cannot sign on until this is filled in

Post Code

Contact Phone Number (preferably Mobile) You cannot sign on until this is filled in

Competition Licence Number This must be filled in to continue

E-Mail Address This must be filled in to continue

Motor Club This must be filled in to continue

Club Membership No You cannot sign on until this is filled in

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard You cannot sign on until this is filled in

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Co-Driver

Full Name This must be filled in to continue

Address You cannot sign on until this is filled in

Post Code

Contact Phone Number (preferably Mobile) You cannot sign on until this is filled in

Competition Licence Number This must be filled in to continue

E-Mail Address

Motor Club This must be filled in to continue

Club Membership No You cannot sign on until this is filled in

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard You cannot sign on until this is filled in

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Telephone Number

Relationship

Competition Licence Issuer

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour

Engine Capacity You cannot sign on until this is filled in

Class (see article 8) This must be filled in to continue

Class 1 - Cars up to and including 1400cc

Class 2 - Cars over 1401cc - 1600cc

Class 3 - Cars over 1601cc - 2000cc

Class 4 - Cars over 1601cc to 2000cc 4 cylinder 8 valve normally aspirated

Class 5 - Cars over 2000cc 2WD

Class 6 - Cars over 2000cc 4WD

Class 7 - Road Rally Cars (as per WAMC Road Rally Rules)

Class 8 - Historic Cars

Competition Car Logbook Number You cannot sign on until this is filled in

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

Championships

ASWMC DL Motorsport Parts Ltd Stage Rally Championship 2019

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

WAMC JD Tyres Welsh National Tarmacadam Championship 2019

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

CMSG BP Motor Bodybuilders Stage Rally Championship 2019

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

FMP Rally Challenge 2019

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Person to be contacted in case of serious accident to Driver

Name You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Relationship You cannot sign on until this is filled in

Will this person be attending the event?

Yes

No

Person to be contacted in case of serious accident to Co-Driver

Name You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Relationship You cannot sign on until this is filled in

Will this person be attending the event?

Yes

No

Seeding - Past Performance on Rallies of Driver Only

Event Name

Year

Surface

Overall Position

Class Position

Seeding - Competitor Opinion

Out of 100 entries, where do you think you should be seeded? This must be filled in to continue

Scrutineering

When would you prefer to scrutineer?

Saturday

Sunday

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Total Money to be sent

£

Payment Method and Details This must be filled in to continue

Payment by Credit Transfer (details at top of form)

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.

Yes

No

The event is not currently open for entries

Marshall & Hicks Print Ltd Tour of Caerwent 2019 - Internet Entry Form

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