The John Clegg Mini Miglia 2022 - Internet Entry Form

The John Clegg Mini Miglia 2022

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

Please complete the entry form below. Don't worry if not all the information is to hand, you will be able to add or amend details once the entry is on the Rallies.info system.

Items with a red background must be completed in order to place the entry on the system, those with a yellow background will have to be completed before you can sign on.

After you click Agree to the declaration & Enter the Event you will receive an automated email response confirming that your entry is in the system.

The Entries Secretary will check your entry and will email you a receipt number, but your entry will not be confirmed until we have received payment.

The entry fee is £45 (for driver and navigator) + £10 for each extra passenger in the car.

Once we have your payment, you will receive a confirmation e-mail from the Entries Secretary.

WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. If you don't receive a response within 7 days of sending payment, or if you have any other questions, please contact the Entries Secretary.

Who is the main contact for entry?

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

Contact Name This must be filled in to continue

To whom should we send the Final Instructions? You cannot sign on until this is filled in

Driver

Navigator

How did you first hear of this event? You cannot sign on until this is filled in

Saw it on rallies.info

Saw it on the Knowldale website

Got an email from Knowldale

Other

Driver

Full Name You cannot sign on until this is filled in

Address You cannot sign on until this is filled in

Post Code

Telephone Number

Mobile Number

E-Mail Address

Age You cannot sign on until this is filled in

I am aged 18 or over

I am under 18

If the Driver is aged under 18 this section must be completed by a parent or guardian

Name

Address (if different)

Post Code

Telephone Number

Relationship

Navigator

Full Name You cannot sign on until this is filled in

Address You cannot sign on until this is filled in

Post Code

Telephone Number

Mobile Number

E-Mail Address

Age You cannot sign on until this is filled in

I am aged 18 or over

I am under 18

If the Navigator is aged under 18 this section must be completed by a parent or guardian

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 You cannot sign on until this is filled in

Registration Number You cannot sign on until this is filled in

Engine Capacity

Year You cannot sign on until this is filled in

Insurers

Name You cannot sign on until this is filled in

Policy No. You cannot sign on until this is filled in

Additional Passenger 1

Name

Contact Number

Additional Passenger 2

Name

Contact Number

Additional Passenger 3

Name

Contact Number

Additional Passenger 4

Name

Contact 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?

Fees - see above for how to pay

Entry Fee

Extra passengers

Total Money to be sent

Payment Method and Details

Electronic Funds Transfer

Cheque in post

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.

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