Whickham PCA July 2019 Internet Entry Form

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

Entries Close Wednesday 24th July 2019 at 18:00

Entries Secretary: Gordon Bradford

Mobile: 07412 107269

E-mail: gordon.bradford1@gmail.com

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

Welcome to Whickham's July PCA entries 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 Event” button at the end you will receive an automated response confirming we have received your entry form.
  3. There are then four ways to pay
    1. Cheque made payable to Whickham & DMC Ltd, and sent to the entries secretary at; 13 Beverley Drive, Swalwell, Newcastle upon Tyne NE16 3EH. Please mark the drivers name on the rear. 
    2. Stripe
    3. BACS to Barclays Bank sort code 20-33-51 Acc No 20947334, please put entry no as reference
    4. Cash to Entries Secretary
  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. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
  5. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please contact us.

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.

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Telephone Number
E-Mail Address
Club
Date of Birth (If under 18)
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
E-Mail Address
Club
Date of Birth (If under 18)
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Registration Number
Engine Capacity
Class
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 £
Total Money to be sent£
Payment Method and Details
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.

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 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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