DDMC Easter Monday Sprint 2019 Internet Entry Form

Entries Close 17th April at 18.00

Lesley Starkey

77 Elizabeth Way

Seaton Carew

Hartlepool

TS25 2AY

Telephone: 07950248105

Email: chair@darlington-motor-club.org.uk

 

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

Welcome to Darlington & DMC  Easter Sprint Online Entry system. Please follow the steps below to enter the event.

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 is only 1 way to pay:-

If you have internet banking, you can arrange for the fees to be paid directly into our account.

Or you can go to your bank and pay monies in manually using the details below

Bank: Barclays

Sort Code: 20-25-29

A/C No: 20637041

Please include Drivers name as reference

 

  1. 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.
  2. 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 chair@darlington-motor-club.org.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?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Nationality
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Engine Capacity
Year
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Championships
SBD Motorsport British Sprint
Crew Members Registered
Driver Championship Registration Number
Longton Northern Speed Championship
Crew Members Registered
Driver Championship Registration Number
Midland Speed Championship
Crew Members Registered
Driver Championship Registration Number
TR / TR Register Speed Championship
Crew Members Registered
Driver Championship Registration Number
TVRCC Speed Championship
Crew Members Registered
Driver Championship Registration Number
JDC 4 Hills & Sprint Championship
Crew Members Registered
Driver Championship Registration Number
XBC Cross Border Speed Championship
Crew Members Registered
Driver Championship Registration Number
Porsche Club Speed
Crew Members Registered
Driver Championship Registration Number
Westfied Speed Series
Crew Members Registered
Driver Championship Registration Number
HSA Speed Championship
Crew Members Registered
Driver Championship Registration Number
InterAssociation Sprint Team Event
Crew Members Registered
Driver Championship Registration Number
Classic Marques Sports Car Club
Crew Members Registered
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?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Extra Donation to the Marshals Fund£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
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 Mad Video and Tony Todd Photography 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. 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 Motorsports 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.."

Web Entries System provided by rallies.info