Malton Forest Rally 2024 - Internet Entry Form

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

Driver

Full Name This must be filled in to continue

Address

Post Code

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

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Number

Co-Driver

Full Name This must be filled in to continue

Address

Post Code

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

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition 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

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

Class You cannot sign on until this is filled in

1 - Up to and including 1400cc

2 - 1401cc up to and including 1600cc

3 - 1601cc up to and including 2000cc

4 - Over 2001cc Two-wheel drive

5 - All Four Wheel Drive cars

H1 - Historic cars up to and including 1600cc

H2 - Historic cars 1601cc and Over

In Car Camera Request

Yes

No

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

Service Vehicle

Sevice Vehicle - Make, Model & Colour

Registration Number

Contact Name You cannot sign on until this is filled in

Contact Number You cannot sign on until this is filled in

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.

Championships

Proflex Shock Absorbers ANCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

SG Petch ANECCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Alpha Concrete ANEMMC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Clubman Motorsport EMAMC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

ANWCC Forest Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Person to be contacted in case of serious accident to Driver

Name You cannot sign on until this is filled in

Address

Post Code

Mobile Number You cannot sign on until this is filled in

Relationship

Will this person be attending the event?

Person to be contacted in case of serious accident to Co-Driver

Name You cannot sign on until this is filled in

Address

Post Code

Mobile Number You cannot sign on until this is filled in

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name

Year

Type

Surface

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 100 entries, where do you think you should be seeded?

Scrutineering

Please select prefered Scrutineering day You cannot sign on until this is filled in

Saturday Scruitineering

Sunday Scruitineering (by appointment only)

Fees - see above for how to pay

Entry Fee This must be filled in to continue

£

Membership to MMC (Expires 31st December 2024)

£

Insurance

£

Donation to the Marshals

£

Entry Balance Payments

£

Official Use Only - Deposits Paid

£

Total Money to be sent

£

Payment Option This must be filled in to continue

Full Payment now

Deposit of £50 now, full balance by 30/09/24

Deposit of £50 now, 2 part payments later

Comments

Anything else you'd like to tell us

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 Videographer / Photographer 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

This field is not editable in this version of the system