BARC Wales Autumn Sprint Weekend 2023

Document Addressing

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

Name of this person This must be filled in to continue

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Mobile Number

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

Grade of Competition Licence 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 (IF UNDER 18 years)

Have you ever held a Road Traffic Act Licence (driving licence) ?

Yes

No

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 (Insert N/A if you don't have a device) You cannot sign on until this is filled in

FHR Model (Insert N/A if you don't have a device) You cannot sign on until this is filled in

FHR Approval Standard (Insert N/A if you don't have a device) You cannot sign on until this is filled in

Any other Information

Have You Competed at Pembrey Before?

Yes

No

If Yes, What is Your Personal Best Time at Pembrey

Driver's Parent or Guardian (under 18 only) LEAVE BLANK IF OVER 18

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

Engine Capacity You cannot sign on until this is filled in

Fuel used if car is NOT running on pump petrol

TURBO/SUPERCHARGED/ROTARY

Cars with turbo/superchargers will have their engine capacity increased by 1.4/1.7.

Rotary engine equivalence 1.5. Forced induction rotary equivalence (1.4x1.5) = 2.1

Turbo

Supercharged

Rotary

None

Car Shared With:

(seperate entry form required)

Competition Car Logbook Number. Insert N/A if car is Road Registered You cannot sign on until this is filled in

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date

Right Harness FIA Homologation Expiry Date

Left Seat FIA Homologation Expiry Date

Right Seat FIA Homologation Expiry Date

Car Fire Extinguishers

Hand-held fire extinguisher make

Hand-held fire extinguisher capacity

Hand-held fire extinguisher last service date

Plumbed-in fire extinguisher make

Plumbed-in fire extinguisher capacity

Plumbed-in fire extinguisher last service date

Extra Persons Mechanic / Helper

Name:

Mobile #:

Extra Persons Mechanic / Helper

Name:

Mobile #:

Extra Persons Mechanic / Helper

Name:

Mobile #:

Championships

The 2023 SBD Motorsport UK British Sprint Championship

Driver

Yes

No

The 2023 Classic Marques Speed Challenge

Driver

Yes

No

The 2023 WAMC Trident Eng. Welsh Sprint & Hillclimb Championship

Driver

Yes

No

The 2023 SBD Motorsport UK HSA Sprint Leaders Championship

Driver

Yes

No

The 2023 BARC Connaught Speed Championships

Driver

Yes

No

Person to be contacted in case of an emergency

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

Fees - see below for how to pay

Entry Fees, Select the appropriate entry fee and indicate which day (Sat, Sun or Both) you're entering This must be filled in to continue

£

Make a donation to the Marshals Fund (Discretionary)

£

Total Money to be sent

£

Payment Must Be Made by Bank Transfer (BACS) to the following account details:

Barclays Bank Sort Code: 20-51-32 Account No 50157821

Please indicate below which days you're entering This must be filled in to continue

Both

Saturday

Sunday

Privacy and Permissions

We take your privacy very 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. In accordance with the current Motorsport UK Yearbook D22.1(23) some information will be shared with Motorsport UK officials and service providers such as event timekeepers (TSL Timing). Details of our Privacy Notice can be found here .

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. Please indicate if you are happy to allow us to do this.

Yes

No

The event is not currently open for entries

BARC Wales Autumn Sprint Weekend 2023 - Internet Entry Form

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