Somerset Seeker Targa 2019 Internet Entry Form

Welcome to the Somerset Seeker Targa 2019 On-line Entry Form.

Please complete all the fields in the form below. The fields with red backgrounds are mandatory. Once you have clicked on the "Enter the Rally" button at the end of the form you will receive an automated email confirming we have received your entry form and with details of how to pay for your entry.

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBC in any red field which you do not know the details for.

Please provide any missing information or advise any changes by e-mail as soon as you are aware of them and as far as possible prior to arriving at the event.

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

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Home Town (Important for Media)
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer & grade
E-Mail Address
Club
Date of Birth
Nationality
Driver & Car Commentary Info
Profession?
How Long Rallying?
History of car & any notable results?
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 (Important for Media)
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer & Grade
E-Mail Address
Club
Date of Birth
Nationality
Co-Driver Publicity
Profession?
How Long Rallying?
Any other information the commentator can use about you, the driver or the car....
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
In Car Camera Request?
FIA Homologated ? Yes / No
Insurers (if not using Event scheme)
Insurer & Policy No.
Address.
Championships
2019 ASWMC Targa Road Rally Championship
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 Co-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 £
Insurance £
Sponsor a Marshal£
Total Money to be sent£
Payment Method and Details
Entrant (only complete if a 2019 MSA entrants licence is held)
Name
Address
Post Code
Telephone Number
Competition Licence Number
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 [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] 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. Please make your payment as soon as possible.

Please provide any missing information or advise any changes by e-mail as soon as you are aware of them and as far as possible prior to arriving at the event.

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.."

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