Fairfield Motor Company Epynt Hillclimbs 2024 - Internet Entry Form

Entries close on 14th June 09:00

Entries will be seeded on June 11th

Entries Secretary: Gethin Phillips

20 Bronant

Talgarth

Powys

LD3 0HF

Email: gethin.p@hotmail.co.uk

Held under the General Regulations of the Motorsport UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations. The Supplementary Regulations can be found here: Epynt Hillclimb 2024 (breconmotorclub.co.uk)

Welcome to the Fairfield Motor Company Epynt Hillclimbs 2024 Online Entry system. Please follow the steps below to enter the rally.

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

Once you have hit the "Enter the Event" button at the end you will receive an automated response confirming we have received your entry form.

There are two ways to pay:

  1. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-
           
    Bank Lloyds Bank
    Sort Code 30-99-50
    Account No. 46400268
    Account Name   Brecon Motor Club
    Reference

    Driver's full name.
  2. You can send a cheque made payable to 'Brecon Motor Club' to the Entries Secretary.

Within 3 days of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. 

If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail Gethin Phillips, gethin.p@hotmail.co.uk

Please note - without full payment your entry will not be valid.

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.

Document Addressing
Driver
Driver Publicity
Driver's Parent or Guardian (under 18 only)
Car
Championships
Fairfield Motor Company 2024 Welsh Sprint & Hillclimb Championship
Downton Motor Club Speed Championship
Classic Marques Speed Challenge
TR Register Sprint & Hill Climb Championship 2024
Person to be contacted in case of serious accident to Driver
Fees - see above for how to pay
£
£
£
£
Entrant (if applicable and not driver)
Events
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 Rallysport Media 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.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Event" button below you agree to the following: "I declare that I have been given the opportunity to read the General Regulations of the Motorsport UK 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 competition 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.."