Five Clubs Wiscombe Hillclimb - Saturday/Sunday 4th/5th September 2021


	FIVE CLUBS WISCOMBE HILLCLIMB Wiscombe Park, Near Honiton, Devon, EX24 6JE www.fiveclubs.org.uk

Five Clubs Wiscombe Hillclimb - Saturday/Sunday 4th/5th September 2021 - Internet Entry Form

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

Sorry we have had to suspend accepting Entries at this time, as we have exceeded our maximum number.

Held under the General Regulations of Motorsport UK, incorporating the provisions of the International Sporting Code of the FIA, and the Supplementary Regulations and any written instructions the promoting clubs may issue.

1. Complete all the fields in the form below, after considering the important information in the following bullet points:-

2. Once you have completed the online entry and clicked on " Agree to the declaration and Enter the Event " button at the end you will receive an automated response confirming we have received your entry form. If you do not see the " Agree to the declaration and Enter the Event " button you may have well opened the form before entries opened, please refresh the page, scroll to the button and click the button is visable and complete the form again.

3. The Entry Secretary will then email you details on how/where to send your entry fee (normally within 5 days, if not sooner).

4. The Entry Secretary one payment has been received, will send you acknowledgement of your entry (normally within 5 days if not sooner, of payment being received).

5. This Entry only covers one driver (the one named) if your are sharing/double drive, each driver must complete an online entry.

6. It is your responsibility to ensure your entry has been received. At www.fiveclubs.org.uk there will be a published entry list which will show the status of your entry (approx. 5 days, or sooner after submitting). On checking the event web site, if you can not see your entry or you do not receive the emails (within the expected times), please CONTACT THE EVENT ENTRY SECRETARY, via our website.

Commentator Info - Please complete this, otherwise for spectators it is just Car Number and Time

Your Car History

Your non weekend Job

Improvements made on Car

Best Time at Wiscombe in this Car

Your history in Motorsport

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Number

Car Seats and Harnesses (where required)

Harness FIA Homologation Expiry Date (where required)

Seat FIA Homologation Expiry Date (where required)

Car Fire Extinguishers (where required)

Hand-held fire extinguisher last service date (where required)

Plumbed-in fire extinguisher last service date (where required)

Details of person 1, who will be present at the event (max 3 people). If you do not know this info yet, leave blank.

Person 1 - Full Name

Person 1 - Mobile Telephone Number

Person 1 - Vehicle Registration (if driving a Vehicle into Wiscombe)

Details of person 2, who will be present at the event (max 3 people). If you do not know this info yet, leave blank.

Person 2 - Full Name

Person 2 - Mobile Telephone Number

Person 2 - Vehicle Registration (if driving a Vehicle into Wiscombe)

Details of person 3, who will be present at the event (max 3 people). If you do not know this info yet, leave blank.

Person 3 - Full Name

Person 3 - Mobile Telephone Number

Person 3 - Vehicle Registration (if driving a Vehicle into Wiscombe)

Details of the Vehicle I will be driving into the venue. If you do not know this info yet, leave blank.

Myself - Vehicle Registration (if driving a Vehicle into Wiscombe, this may be your Tow Vehicle or Competition Vehicle Registration)