Rod Brereton Hillclimb Scammonden September 2024 - Internet Entry Form

 

 Welcome to PENDLE DISTRICT MOTOR Club Online Entry system. Please follow the steps below to enter the event.

Complete all the fields in the form below.

The fields with red backgrounds are mandatory.

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

PAYMENT FOR THIS EVENT IS BY BACS TRANSFER ONLY

BACS transfer direct to Pendle Districts Club account the entry fee is £100.00

BACS TRANSFER to :- HSBC BANK ACCOUNT :-  PENDLE DISTRICT MOTOR CLUB LIMITED

SORT CODE :- 40-09-11 ACCOUNT NUMBER :- 81113011

Please put the drivers name in the reference field,to enable us to identify who has paid.

Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary

 


NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail the entries secretary at the address above.

 

Contact Infromation
Driver
Shared or Double Entries (You will still need to submit 2 entries)
Driver's Parent or Guardian (under 20 only)
Car
Championships
2023 Liverpool Motor Club Speed Championship
2023 Longton MC Northern Speed Championship
2023 ANWCC Speed Hillclimb Sprint Championship
ANWCC with SD34 Hillclimb Championship
2023 Cross Border Speed Championship
2023 Sheffield & Hallamshire Championship
Person to be contacted in case of serious accident to Driver
Fees - see above for how to pay
£
£
£
Marshal 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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] 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 RECIEPT OF THE CORRECT ENTRY FEE

Entry Declaration:

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 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.

A)     In the case of races or speed events “I declare that to the best of my belief the driver(s) possess(es) the standard of competence necessary for the event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard for the course and the speed which will be reached.”
B)     In the event of any race taking place wholly or partly on publicly adopted roads “I declare that the use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of this event as shall take place on road as defined by the law”.
 
I understand that should I at the time of this event be suffering from any disability whether permanent of temporary which is likely to affect prejudicially my normal control of my vehicle. I may not take part unless I have declared such disability to the ASN which has, following such declaration, issued a licence which permits me to do so.