Phil Price Memorial Woodpecker Stages Interclub Rally 2023

Welcome to the Phil Price Memorial Woodpecker Stages Interclub Rally On-line Entry System

Normal entries close for seeding on Tuesday 29th August.

Late entries accepted until Tuesday 5th September.

Entries Secretary: Sarah Jones,

Telephone 07774 908297 or e-mail: entries@woodpecker-rally.co.uk.

Regulations are available on the web site www.woodpecker-rally.co.uk.

The Woodpecker Stages Rally is held under the General Regulations of Motorsport UK (incorporating the International Sporting Code of the FIA) and these Supplementary Regulations.

Once your entry has been checked by the Entries Secretary and your Entry Fee received, you will get a second e-mail regarding your entry and notifying you of your receipt number.

Please note: the Parent or Guardian of competitors under 18 must either counter sign their Motorsport UK Declaration or complete a Motorsport UK Parental Consent Authorisation authorising their representative to act on their behalf (H26.1.7 & 8). The Parent or Guardian or their representative must attend the Event.

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 You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Home Town You cannot sign on until this is filled in

Telephone Number

Mobile Number

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

Competition Licence Issuer (if not Motorsport UK)

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 (if under 18)

Nationality

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 You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Home Town You cannot sign on until this is filled in

Telephone Number

Mobile Number

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

Competition Licence Issuer (if not Motorsport UK)

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 (if under 18)

Nationality

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

If you are using your own insurance for the road sections of the rally please provide the name, policy number and address of the insurance company.

In doing so you are declaring that the cover provided complies with the requirements of the Road Traffic Act for the road sections of the rally.

Insurer's name & policy number

Address

If you wish to use the REIS road section insurance, can you comply with the Insurance Declaration quoted in Section 21 of 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 e-mail entries.woodpecker@gmail.com)

N/A - I have my own insurance

Service Vehicle

Make

Contact Name 1

Contact Number 1

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.

Phil Price Memorial Woodpecker Stages Interclub Rally 2023 - Internet Entry Form

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