Legend Fires North West Stages 2022

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

How would you like to receive Finals and Results?

E-mail/Website

Posted Paper

Driver

Full 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 This must be filled in to continue

Club You cannot sign on until this is filled in

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

Date of Birth You cannot sign on until this is filled in

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 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 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 You cannot sign on until this is filled in

E-Mail Address This must be filled in to continue

Club You cannot sign on until this is filled in

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

Date of Birth You cannot sign on until this is filled in

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 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 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 This must be filled in to continue

Forced Induction

No

Yes

Class This must be filled in to continue

A - up to 1400cc

B - 1401 - 1600cc.2-Wheel Drive

C - 1601 - 2000cc, 2 Wheel Drive

D - Over 2000cc, 2-Wheel Drive

E - All 4- Wheel Drive cars(other than those in Class W below)

H - Historic vehicles complying with R49

W - Homologated or Non-homologated current/former WRC cars current/ former S2000 cars and all FIA R5 cars, or derivatives of these cars.

In Car Camera Request

Yes

No

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

Insurers

Name

Address

Recce Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Service Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Extra vehicles

Make

Model

Colour

Registration Number

Contact Name

Contact 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

ANCC Stage Rally Championships 2022 - please visit http://ancc.co.uk/stage-rally/ for more details

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

North of England Tarmacadam Rally Championship (6/2022)- please visit http://www.nerallychamp.com/ for more details -

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Stage Rally, All- Rounders Championship (29/2022) - please visit http://anwcc.co.uk for more details

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The SD34 MSG Stage Rally Championship (5/2022) please visit http://sd34msg.org.uk/ for more details

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Novice as defined as H35.1.4

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

Address

Post Code

Mobile Number This must be filled in to continue

Relationship You cannot sign on until this is filled in

Will this person be attending the event? You cannot sign on until this is filled in

Yes

No

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

Name This must be filled in to continue

Address

Post Code

Mobile Number This must be filled in to continue

Relationship You cannot sign on until this is filled in

Will this person be attending the event? You cannot sign on until this is filled in

Yes

No

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Event Name and Club

You must have finished at least 3 Interclub or higher stage rallies to enter this event.
If you don't have any further results to enter, please add N/A to row 4 and 5

Year

Type

Surface

Overall Position

Class Position

Seeding - Competitor Opinion

Out of 120 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Insurance

£

Marshal Fund

£

Charity Donation

£

Large Service area extra vehicle / Caravans -£25 / Super Service Pitch HGV Type vehicle £60

£

Total Money to be sent

£

Payment Method and Details This must be filled in to continue

BACS

Cheque (I will post a cheque/cheques to Entries Secretary)

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Competition Licence Number

Competition Licence Issuer

Club Membership No

Comments

Anything else you'd like to tell us?
For example:-
You would like to service next to another competitor?
You need space for a large vehicle?
Request to opt out of the Friday night Garstang Ceremonial Start?
(We are not confirming these will be accepted, but you can request!)

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 Results Lists, 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

Yes

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to Special Stage TV and Pro-Rally Photography 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

The event is not currently open for entries

Legend Fires North West Stages 2022 - Internet Entry Form

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

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Legend Fires North West Stages 2022 - Internet Entry Form

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

Seeding - Past Performance on Stage Rallies by Driver Only We can only seed you on the information you supply - please give as much detail as possible.

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.