Derby Dales Tour 2024 - Internet Entry Form

Before entering the Derby Dales Tour please read the following carefully.

The Derby Dales Tour is primarily being organised as a celebration of Cirencester Car Club, for Cirencester Car Club members, recreating the spirit of the early car club long distance reliability events and meeting up with old acquaintances.

The best way to secure an entry is to pay by Stripe (Debit/Credit Card) or Bacs.

A £100 deposit is required with the remaining balance to be paid 1/5/24.

Refunds after 1/5/24 wil only be made if another entrant can take your place.

 Friday- Sunday 14th-16th June 2024 staying at the Makeney Hall Hotel, Belper.

The entry fee will cover Road Book, Rally Plate, entry for 2 into the Great British Car Journey, (Visited on Saturday) parking at the National Memorial Arboretum (Our finish venue on Sunday) and souvenirs, along with any other supporting paperwork.

There are a number of room options available at the Makeney Hall Hotel and this is reflected in the prices of the rooms listed below, the rooms are allocated strictly first come first served basis, you may wish to visit the hotel web site Makeney Hall Hotel to help you make your room choice.

The room package is for bed and breakfast for two nights and a 3 course celebration meal on Saturday night.

Friday night bar meals and all drinks are not included.

Entries Secretary:

Martin Saunders

6 Notgrove Close

Cheltenham

Glos

 GL51 6BB

 Telephone 07798 584713

 e-mail: ted163.entries@gmail.com

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to the Derby Dales Tour Online Entry system. Please follow the steps below to enter the Run.

 Complete all the fields in the form below. The fields with red backgrounds are mandatory.

  1. Once you have hit the "Enter the Derby Dales Tour" button at the end you will receive an automated response confirming we have received your entry form.
  2. The easiest way to pay is by "Stripe" debit or credit card.
  3. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Sort Code

30-92-06

Account No.

00956056

Account Name

Cirencester Car Club 

Reference

Please use Driver's full name.
  1. Alternately pay by cheque payable to Cirencester Car Club and post to the Entries Secretary at the address above.
  2. When payment has been received you will receive an e-mail confirming your entry. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID If you don't receive a response within 7 days of the expected payment date, or if you have any other questions, please e-mail corinium.entries@gmail.com

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for. 

 

 

Primary Contact Details
Driver
Passenger 1
Car
Person to be contacted in case of serious accident to Driver
Person to be contacted in case of serious accident to Passenger 1
Fees - see above for how to pay
£
£
£
2nd Passenger Details
3rd Passenger Details
Comments
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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to Anthony Fowler, 569 Media,so that he can contact you with a view to offering you photos of you on the event. If you are happy to allow us to do this, please say so here.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. 

By clicking on the "Enter the Derby Dales Tour" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the event and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."

I also confirm that my vehicle has a current road fund licence, valid insurance, a valid MOT if required and is road worthy.