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Eagle Road Rally 2019 Internet Entry Form

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

Entries Close for seeding at 18:00 on the 29th of November.

Entries Secretary: John Tomley
   Cwm Cochen, Bettws, Newtown, Powys. SY16 3LQ

Telephone 07771994327

e-mail: tomleytraining@gmail.com

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

Welcome to Eagle Road Rally Online Entry system.

Please follow the steps below to enter the rally.

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.        (but send them as soon as you do)

At signing on incomplete entry forms will be handed back to you to be filled out at the back of the queue!

IF YOU INTEND TO PAY FOR JELF  INSURANCE ON THE NIGHT- PUT ON THE NIGHT JELF  (in the insurers- NAME column) and own insurance 0:00 in fees column

 

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
Date of Birth
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
Date of Birth
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
Class
Insurers
Name & policy No
Address
Championships
Welsh Association of Motor Clubs Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Welsh Association of Motor Clubs Junior Challange
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Welsh Border Car Club Road Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Association of North West Car Clubs Championship
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 ClubYearTypeOverall PositionNo of Starters
Fees - see above for how to pay
Entry Fee £100.00 £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Marshal Details
Name
Mobile Number
Experience
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.

The event is not currently open for entries

Web Entries System provided by rallies.info