Ilkley Jubilee Historic and Targa Rally 2023

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

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

Date of Birth

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Navigator

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

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

Date of Birth

Navigator'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 a Catagory 3 4a or 4b vehicle 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

No

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

Tripmeter make & model

Insurers

Name

Address

If you wish to use the road section insurance, can you comply with the Insurance Declaration quoted in the regulations? You cannot sign on until this is filled in

Yes - I wish to use the insurance and I comply with all points

No - I wish to use the insurance but do not comply (please contact me)

N/A - I have my own insurance

Championships

The HRCR Motorsport News Clubmans Championship

Crew Members Registered

None

Driver

Navigator

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The ANWCC Historic Road Rally Championship

Crew Members Registered

None

Driver

Navigator

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The ANCC Northern Classic Championship

Crew Members Registered

None

Driver

Navigator

Both

Driver Championship Registration Number

Co-Driver Championship Registration 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 Navigator

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event

Year

Type

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 75 entries, where do you think you should be seeded?

Scrutineering

It is our intention to encourage all competitors to have their cars scrutineered on the Saturday evening. However in exceptional circumstances a small number of cars can be scrutineered on Sunday morning. You cannot sign on until this is filled in

Saturday evening

Sunday morning

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Insurance

£

Optional donation to marshal's fund

£

Total Money to be sent

£

Payment Method

Card Payment

Marshal Details - if you know of a marshal who'd like to come and help, please give details here and our Chief Marshal will contact them directly

Name

Telephone or Mobile Number

Email Address

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

No

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to the event photographer/s 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.

Yes

No

The event is not currently open for entries

Ilkley Jubilee Historic and Targa Rally 2023 - Internet Entry Form

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