Clitheronian Rally 2019 Internet Entry Form

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

Entries Close for seeding on 16th September at 24:00hrs

 

c/o 112 Southwood Drive

Baxenden

Accrington

Lancashire

BB5 2TU

Tel 07425 879024

email: katiewoodcock@aol.com

 

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

Welcome to Clitheronian 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. There are then two ways to pay
    1. The fastest way to secure your entry is to pay by card, click the link after pressing the Enter Rally Button.
    2. 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 30-90-87
      Account No. 02578114
      Account Name The Clitheronian Rally
      Reference Driver's full name.
    3. You can send a cheque, made payable to 'The Clitheronian Rally' to the Entries Secretary at the address above
  4. 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.
  5. 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 katiewoodcock@aol.com

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?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Navigator
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Car
Make
Model
Colour
Registration Number
Engine Capacity
Class
Insurers
Name
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
Gazzard Accounts SD34 Road Rally Championship
Crew Members Registered
Association of Northern Car Clubs Championship
Crew Members Registered
Association of North Western Car Clubs Championship
Crew Members Registered
Association of North East Midlands Car Clubs Championship
Crew Members Registered
East Midlands Association of Motor Clubs
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 Road Rallies
Event Name and ClubYearTypeOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 50 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Optional Donation to North West Air Ambulance Charity£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Competition Licence Number
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.

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.

The event is not currently open for entries

Web Entries System provided by rallies.info