Document Addressing E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to? Driver Co-DriverDriver Full Name
Address Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Place and 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
Place and 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 No YesClass B1/B2 - Category 1 - registered before 31/12/1967 - Cars up to 1000cc and Cars 1001cc to 1300cc B3 - Category 1 - registered before 31/12/1967 - Cars 1301cc to 1600cc, excluding Twin Cam engine cars B4 - Category 1 - registered before 31/12/1967 - Cars over 1601cc, including Twin Cam engine cars B5 - Category 1 - registered before 31/12/1967 - Cars over 2000cc, including all Porsche 911s C1/C2 - Category 2 - registered between 01/01/1968 and 31/12/1974 - Cars up to 1300cc and Cars 1301cc to 1600cc, including 2 value Twin Cam engine cars C3 - Category 2 - registered between 01/01/1968 and 31/12/1974 - Cars 1601cc to 2000cc C4/C5 - Category 2 - registered between 01/01/1968 and 31/12/1974 - Cars over 2000cc, including all Multi-value Twin Cam engine cars D1/D2 - Category 3 - registered between 01/01/1975 and 31/12/1981 - Cars up to 1300cc and Cars 1301cc to 1600cc, including 2 value twin cam engines D3 - Category 3 - registered between 01/01/1975 and 31/12/1981 - Cars 1601cc to 2000cc D4 - Category 3 - registered between 01/01/1975 and 31/12/1981 - Cars over 2000cc, including Twin Cam Multi-value engine cars D5 - Category 3 - registered between 01/01/1975 and 31/12/1981 - All other Twin Cam Multi-value engine cars E1 - Category 4a - registered between 01/01/1982 and 31/12/1985 - Cars up to 1600cc E2 - Category 4a - registered between 01/01/1982 and 31/12/1985 - Cars over 1601cc F1 - Category 4b - registered between 01/01/1986 and 31/12/1990 - Cars up to 1600cc F2 - Category 4b - registered between 01/01/1986 and 31/12/1990 - Cars over 1601cc G1 - Category K - FIA Appendix K Cars registered before 31/12/1985 - Cars up to 1600cc G2 - Category K - FIA Appendix K Cars registered before 31/12/1985 - Cars over to 1601cc Class1 - All BTRDA Rally First Cars and Crew 25 up to 1000cc Class2 - Cars up to 1400cc not classified in Class 1 Class3 - Cars 1401cc to 1600cc Class4 - Cars 1601cc to 2000cc Class5 - Cars over 2000cc 2WD cars including FIA R3T cars Class6 - Cars over 2000cc 4WD not eligible for Class 7 Class7 - All WRC with sequential gearbox, RRC, R5 and S2000 including all derivatives Class8 - Historic vehicles whose crews are not eligible to enter the National Historic Event ClassLR - Land RoversIn Car Camera Request
Insurance Details (if not using event insurance) Name
Address Service Vehicle Type of Vehicle
(please indicate make and model in the fields below) Car 4x4 Pick-up SWB Van LWB Van OtherMake (if known)
Model (if known)
Registration Number
Sponsor Sponsor Name (Note: this sponsor does not need an entrant's licence. If you have an entrant with an entrant's licence, please give details later.
Championships FUCHS Lubricant Motorsport UK British Historic Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration Number
Motorsport UK 2020 English Rally Championship supported by SEACON UK Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration Number
HRCR Motoscope Northern Historic Gravel Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration Number
FUCHS Lubricants RACRMC Asphalt/Rally 2 Mixed Surface Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration Number
Crew25 Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration Number
ANECCC SG Petch Stage Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number
Co-Driver Championship Registration 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 Scrutineering When would you prefer to scrutineer?
Friday 24th April 14:00 - 19:30 14:00 to 15:00 15:00 to 16:00 16:00 to 17.00 17:00 to 18:00 18:00 to 19:00 19:00 to 19:30Fees - see above for how to pay Entry Fee £ Insurance £0.00 25.00 - Insurance Fee Competitor Tracking System £ Marshals' Fund £ Total Money to be sent £ Payment Method and Details Internet bankingEntrant (if applicable and not driver) Name
Address Post Code
Telephone Number
Competition Licence Number
Competition Licence Issuer
Service Area
Do you wish to service next to any other competitor(s) or do you have any particular service area needs?
Please note we will do our best to accommodate your service requests but it may not be possible for us to allocate you a service bay next to the requested competitor(s). 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.
No YesWe would also like to be allowed to pass on your Name, Address, Post Code and email addresses to the filming companies that have been selected by the different championships, 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.
No Yes