KLMC Targa 2021 - Internet Entry Form

Held under the General Regulations of Motor Sport UK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations

Welcome to the KLMC Targa 2021 Online Entry system. Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.

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 This must be filled in to continue

Real Name of this person This must be filled in to continue

Whom should we send Finals and Results to?

Driver

Co-Driver

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

E-Mail Address

Club You cannot sign on until this is filled in

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Co-Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

E-Mail Address

Club You cannot sign on until this is filled in

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

Engine Capacity

Year

MSA Waiver required if vehicle registered between 1968 and 1985 and has any of the following:

More than four cylinders
More than two carburettor chokes
More than one camshaft per bank of cylinders
Forced Induction

Yes - Please list items your vehicle has in the text box at the end of this entry form

Class You cannot sign on until this is filled in

H1 - Category 1 cars eligible for Historic permitted events

H2 - Category 2 cars eligible for Historic permitted events

H3 - Category 3 cars eligible for Historic permitted events

H4 - Category 4 cars eligible for Historic permitted events

M5 - Masters in Targa eligible cars

E6 - Experts in Targa eligible cars

N7 - Novices in Targa eligible cars

Insurers

Name

Address

Person to be contacted in case of serious accident to Driver

Name

Telephone Number

Relationship

Will this person be attending the event?

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

Name

Telephone Number

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 60 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

Club Membership

Insurance

Total Money to be sent

Payment Method and Details This must be filled in to continue

Comments and Waiver details

Anything else you'd like to tell us - include waiver request 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.

Yes

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to official event photographers so that they can contact you with a view to offering you photos of you on the event. If you are happy to allow us to do this, please say so here.

Yes

The event is not currently open for entries

Bank	Yorkshire Bank
Sort Code	05-05-40
Account No.	34270606
Account Name	Kirkby Lonsdale Motor Club
Reference	Please use *Driver's full name*.

KLMC Targa 2021 - Internet Entry Form

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