Roamerlite Rally 2019 Internet Entry Form

Entries Close for seeding on Saturday 16th March at 12.00

Entries Secretary:

Chris Wilson

Chatwall Hall
Church Strettton

Shropshire

SY6 7LD

Tel: 01694 771240/ 07398 517073
Email:cwilsonchatwall@gmail.com

The entry list may remain open after 16th March at the discretion of the organisers.

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

 

Welcome to the 2019 Telford Auto Club Roamerlite 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. PREFERRED :
      If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:
      Bank Barclays
      Sort Code 20-85-46
      Account No. 20864633
      Account Name Telford Auto Club Ltd
      Reference Driver's full name
      or
    2. You can send a cheque, made payable to 'Telford Auto Club Ltd' to the Entries Secretary at the address above.
  4. When we have received the payment for your entry you will receive an email confirming your entry from The Entries Secretary. 
    NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE ACCEPTED.
  5. If you don't receive a response within 3 days, or if you have any other questions, please contact The Entries Secretary
  6. All the fields with a red background must contain a response from you or you will not be able to continue. 
  7. Please put TBA in any red field ONLY for which you do not know the details, and confirm any missing information to The Entries Secretary as soon as possible.  
    You will not be able to edit your entry at a later date, so please provide as much information as possible now to avoid causing additional work for the organisers.
Document Addressing
E-Mail address for communication
Real Name of this person
To whom should we send Finals and Results?
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number (or main number if no mobile)
E-Mail Address
Date of Birth
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Navigator
Full Name
Address
Post Code
Telephone Number
Mobile Number (or main number if no mobile)
E-Mail Address
Date of Birth
Navigator'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
Address
AWARDS
Junior Under 21
Crew Members Registered
Under 1400 Car
Crew Members Registered
Standard Car
Crew Members Registered
Family Crew
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 Navigator
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Please state D or N to differentiate between Driver or Nav results
Event Name and ClubYearTypeOverall PositionNo of Starters
Fees - see above for how to pay
Entry Fee £
Insurance £
Total Money to be sent£
Payment Method and Details
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  [Seedsport(Wales)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.

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 the Motor Sports Association 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.  I declare that the use of the vehicle hereby entered will be covered by insurance as required by the Law, and that this insurance is valid for such part of this event as shall take place on roads as defined by the Law.  If I am unable to comply with S18 of the Supplementary Regulations, I will complete and return a declaration form to the Entries Secretary at least 14 days before the event. 

 

Web Entries System provided by rallies.info