Roberts Garages Jersey Rally 2021

Angie Renouf
61 Marett Court
Marett Road
St Helier
JE2 4PZ
Telephone 01534 862375

This Event is held Under the General Regulations of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA) the Standing Competition Rules and Supplementary Regulations of the Club.

Welcome to Jersey Motorcycle and Light Car Club Online Entry system. Please follow the steps below to enter the event.

Once you have hit the "Enter Event" button at the end you will receive an automated response confirming we have received your entry form.

1) If you would like to pay via credit or debit card, you will get a link after submitting your entry. Please be aware that you will be charged a 4% surcharge to pay via PayPal, this is to cover the PayPal fees.

2) You can send a cheque, made payable to "Jersey Motorcycle and Light Car Club" to the Entries Secretary at the address above. Please write the drivers name on the back of the cheque.

Please be aware that while entries are accepted on a first come first serviced basis, due to the number of marshals required for this event, there will be a number of spaces reserved for local competitors who are mandated to supply marshals.

Within 3 days of us receiving the payment for your entry you should receive an e-mail confirming reciept of your entry from the Entries Secretary

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail the entries secretary at the address above.

Contact Information

E-Mail address for communication This must be filled in to continue

Contact Name This must be filled in to continue

Electronic Entry (Office Use Only!)

Yes

Driver

Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Home Town

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

E-Mail Address

Driving Licence Number This must be filled in to continue

Club Membership No You cannot sign on until this is filled in

Date of Birth This must be filled in to continue

Have you competed in a stage rally before?

Yes

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

Driver Media Information

Occupation

Sponsors

Scariest moment in a car

How Long Rallying?

Best Result to Date

Any other information
or Items of Interest relating to the car

Driver's Parent or Guardian (under 18 only)
NOTE: Parent or Guardian MUST sign on.

Full Name

Mobile Number

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Co-Driver

Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

E-Mail Address

Club Membership No You cannot sign on until this is filled in

Date of Birth This must be filled in to continue

Have you competed in a stage rally before?

Yes

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

Co-Driver Media Information

Occupation

How Long Rallying?

Any other information

Co-Driver's Parent or Guardian (under 18 only)
NOTE: Parent or Guardian MUST sign on.

Name

Mobile Number

Telephone Number

Relationship

Competition Licence Issuer

Competing Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour This must be filled in to continue

Registration Number This must be filled in to continue

Engine Capacity (cc) This must be filled in to continue

Class

A - Up to 1400cc

B - 1401cc to1600cc

C - 1601cc to 2000cc

D - Over 2000cc

E - 4 Wheel Drive

FWD2 - FWD up to 2000cc

In Car Camera Request

Competition Car Logbook Number You cannot sign on until this is filled in

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

Road Insurers

Insurers This must be filled in to continue

Insurance Agent This must be filled in to continue

Service Vehicle

Make

Model

Registration Number

Length (meters)

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

Person to be contacted in case of serious accident to Co-Driver

Name This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

Seeding - Performance on Rallies in the last 3 years

Event Name and Club

Year

Status

Surface

Overall Position

Class Position

Seeding - Competitor Opinion

Out of 80 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

JELF Insurance (Road Section) or Own - Please Select appropriate

Jersey Motorcycle & Light Car Club Membership - Driver (Overseas ONLY)

Jersey Motorcycle & Light Car Club Membership - Co-Driver (Overseas ONLY)

Total Money to be sent

Payment Method and Details

Cheque for full amount

Paypal (4% surcharge applicable)

Entrant (if applicable and not driver)

Name

Entrants MSA Licence Number

Club Membership No

Tourism Information (This is important in order for the event to maintain support from the local authorities)

Number of hotel bednights used by Driver and Navigator (e.g. 2 people for 7 nights = 14 bednights)

Number of hotel bednights used by the service crew

Number of hotel bednights used by friends an family

Privacy and Permissions

By entering the rally you are accepting these terms:

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry / Results 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.

Yes

The event is not currently open for entries

Roberts Garages Jersey Rally 2021 - Internet Entry Form

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