Jim Clark Rally 2019 Internet Entry Form

 

Entries Close for seeding on the 29th October 2019 at 12:00.
 
Entries Secretary:
Lindsay Burnip
8 Church View
Quebec
DURHAM
DH7 9DQ
Telephone – 0191 3734758
Mobile: 07727 098450
E-mail: lindsay.burnip@jimclarkrally.org
 
Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.
 
Welcome to The Jim Clark Rally 2019 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. Payment is only available via BACS. Our account details are:
Bank – Bank of Scotland          
Sort Code 12-12-57
Account Name – Jim Clark Memorial Motor Club Ltd 
Account No - 06970098
In order to confirm your entry, payment must be made within 6 days. 
 
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. .
 
5. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please email the entries secretary at the address above.  
 
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.
 
The details on this form will be held on computer in order to be used for the administration of this event.
 
PLEASE NOTE - . The first 100 fully paid entries will be accepted. The remaining 20 entries will be allocated at the organiser’s discretion. 
 
Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
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 Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
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 Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
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
Insurers
Name
Address
Service Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact 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 ClubYearTypeSurfaceOverall 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?
Free Service Pack?
Fees - see above for how to pay
Entry Fee £
Jim Clark Memorial Motor Club Associate Membership £
Insurance £
Contribution to 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.

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 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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