Cambrian Rally 2019 Internet Entry Form

"Standard" entries close on Tuesday 6th February 2018 at noon (1200 hours) - entries after that date, and up to final closing date of 13th February, at increased fee.

Entries Secretary:

Claire Farrant

3 Upchurch Close

Liverpool

L8 4YP

e-mail: entries@cambrianrally.co.uk

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

Welcome to the CAMBRIAN RALLY 2019 On-line 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. There are then three ways to pay
    1. The easiest and cheapest way to pay is on-line by bank transfer. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account.  You may set payment for a later date, but no later than Monday 4th February 2019. The details are:-
      Bank HSBC
      Sort Code 40-30-07
      Account No. 51286986
      Account Name NWCC Cambrian Rally
      Reference Driver's full name.
    2.  You can send a cheque, made payable to 'NWCC Cambrian Rally' to the Entries Secretary at the address above.  Cheques will be banked on Tuesday 5th February.  Post-dated cheques (dated 4th February) will be acceptable.
    3.  Cash (not preferred method) to the Event Treasurer at 11 Maes Canol, Llandudno Junction, LL31 9UX.

Within 24 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.

If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail entries@cambrianrally.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.

Please provide any missing information or advise any changes by e-mail as soon as you are aware of them and as far as possible prior to arriving at the event, we can then update the entry information.

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
Nationality
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
E-Mail Address
Club
Date of Birth
Nationality
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
Four Wheel Drive
Class
In Car Camera Request
FIA Homologation Number
Insurers details if NOT using REIS Scheme
Insurer (not agent or broker) & Policy No.
Address.
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
BRC - British Rally Championship
Crew Members Registered
BTRDA Rally Championship
Crew Members Registered
Pirelli MSA Welsh Forest Rally Championship
Crew Members Registered
ANWCC Forest Stage Championship
Crew Members Registered
FMP Rally Challenge
Crew Members Registered
Glynne Edwards Memorial Championship
Crew Members Registered
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 -2018 only please - these will be checked!
Event Name and ClubOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 100 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Friday 2 to 3 pm
Friday 3 to 4 pm
Friday 4 to 5 pm
Friday 5 to 6 pm
Friday 6 to 7 pm
Friday 7 to 8 pm
Saturday 7am (limited, and only by prior agreement)
Participating in Recce?
Participating in Shakedown?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Management Pack£
Event programme£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Competition Licence Number
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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to our official Video and Photo suppliers 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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

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.

We respectfully remind you to ensure that you have your 2019 Competition Licence renewed BEFORE the event - we are unable to accept licence applications for Drivers - who MUST HAVE STAGE RALLY DRIVER LICENCES.  We can accept applications for Non-Race National B (not valid for the National A section of the event) but that will not permit you to drive on the event. Please ensure you apply to Motorsport UK in plenty of time to enable your licence to be issued.  We don't want to have to turn you away!

If you wish to pay by bank transfer (online banking) payments can be made to NWCC Cambrian Rally, Sort Code 40-30-07, Account no 51286986. Please enter your entry receipt no and driver surname in the 'Reference' field.  If paying by cheque, payable to "NWCC Cambrian Rally" please send to Cambrian Rally, 11 Maes Canol, Llandudno Junction, LL31 9UX, please put the reference number on the back.

Please provide any missing information or advise any changes by e-mail as soon as you are aware of them and as far as possible prior to arriving at the event.

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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