'Celtic Auto Parts' Rali Môn 2019 Internet Entry Form

Entries Close at 18:00 hours on Monday 9th September 2019.

Entries Secretary: Dafydd Edwards
92 Lôn Hedydd
Llanfairpwllgwyngyll
Ynys Môn
LL61 5JY

Tel: 01248 714165
Email:  camcsport@gmail.com

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

Welcome to the Caernarvonshire & Anglesey Motor Club's 'Celtic Auto Parts' Rali Môn 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. Driver and Navigator names MUST be as shown on your Motorsport UK Competition Licence.   Nicknames are NOT acceptable.
  3. Please be extra careful when entering email addresses.
  4. PLEASE DON'T BE LAZY - use CAPITAL letters for the beginning of names, etc. That is - First names, Surnames, House names, Street, Town names, in Postcodes; car Make, Model and Colour.
    The Entry List will look much neater if you do this. Thank you.
  5. This is a 'National B' status event, therefore all competitors must have a Motorsport UK Competition Licence of a minimum grade of 'Non Race National B'.
  6. 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.
  7. Within 3 days of us receiving the payment for your entry you should receive an email confirming your entry from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
  8. If you don't receive a response within 7 days of the expected payment date, please e-mail camcsport@gmail.com.


YOU HAVE A CHOICE OF THREE WAYS TO PAY:

A)  If you would like to pay via credit card, debit card or PayPal, you will get a link after you fill in the entry form to take you to PayPal's website where you can pay for your entry by card or PayPal (use the reference: RM + driver's name).  Note that we do not see your card details at all as this is all handled for us by PayPal and there is no additional fee for using this facility.

B) If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-
  

Bank HSBC
Sort Code  40-16-02
Account No.  01166034
Account Name C&A Motor Club

Use the reference:

RM + Driver's name.


C) You can send a cheque, made payable to 'Caernarvonshire & Anglesey Motor Club Ltd' to the Entries Secretary at the address above (your entry will not be confirmed until the cheque is cashed).

All other fees due will be collected at Signing-on, that is, JELF insurance premiums, Motorsport UK Competition Licence fee or C&A Motor Club club membership fee.

All the fields with a red background must be completed, otherwise you will not be able to continue.

Document Addressing
E-Mail address for communication - PLEASE ENTER CAREFULLY!
Actual name of this person
Driver
Driver's name (as on your Motorsport UK Competition Licence - no nicknames allowed).
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club(s)
Date of Birth if under 21 years old
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Navigator's name (as on your Motorsport UK Competition Licence - no nicknames allowed).
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club(s)
Date of Birth if under 21 years old
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car & Class
Make
Model
Colour
Registration Number
Cubic Capacity
Class entered as a crew.
Insurers (If using the JELF scheme you must comply with the requirements stated in the Supplementary Regulations and write JELF as insurers name)
Will you be using the JELF insurance scheme?
If not using the JELF scheme, please provide the details of your own insurers.

     Name:

     Address:

     Policy No.:

Championships
ANWCC Road & Navigation Rally Championship
Crew Members Registered
WAMC Road Rally Championship
Crew Members Registered
Person to be contacted in case of serious accident to Driver
Name and relationship
Telephone Number
Person to be contacted in case of serious accident to Navigator
Name and relationship
Telephone Number
Seeding - Past Performance on Rallies

Event Name

Year

Status

Class Entered

Class Position

Overall Position

Fees - see above for how to pay
Entry Fee £
Total Money to be sent£
Payment Method
Marshal Details
Name
Mobile Number
Email Address
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 may 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 email addresses to any official photographer so that they may contact you with a view to offering you photos of you on the event. If you are happy to allow us to do this, please say so here.

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 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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