Lewis and Hunter Cambrian Rally 2025 - National

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 This must be filled in to continue

Post Code This must be filled in to continue

Home Town This must be filled in to continue

Telephone Number This must be filled in to continue

Mobile Number This must be filled in to continue

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

Competition Licence Issuer

E-Mail Address This must be filled in to continue

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

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 This must be filled in to continue

Post Code This must be filled in to continue

Home Town This must be filled in to continue

Telephone Number This must be filled in to continue

Mobile Number This must be filled in to continue

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

Competition Licence Issuer

E-Mail Address This must be filled in to continue

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

Nationality

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour You cannot sign on until this is filled in

Registration Number You cannot sign on until this is filled in

Engine Capacity You cannot sign on until this is filled in

Year You cannot sign on until this is filled in

Forced Induction You cannot sign on until this is filled in

No

Yes

Four Wheel Drive You cannot sign on until this is filled in

No

Yes

In Car Camera Request

In-Car Camera fitted

No in-car camera

ALL COMPETITORS MUST complete the insurance declaration form - https://forms.office.com/r/9HYBHSUsHk?origin=lprLink.

Vehicles must have a valid motor insurance policy which provides as a minimum Third Party Liability cover that complies with the Road Traffic Act. This can be either by extending an existing motor policy to cover the event, or, by purchasing additional cover, providing under the Event Road Section Scheme as an adjunct to an existing motor policy. If a competitor has an extension to their existing policy, they will be required to sign a declaration that the cover complies with the requirements of the Road Traffic Act. Any responsibility for a fraudulent or misleading declaration about existing cover lies with the competitor.

The Organisers have applied to Kingfisher Motorsport Insurance for a Blanket Cover Note under the above scheme. This will provide competitors who need to use the scheme with the Third Party Cover necessary to meet RTA requirements on the Road Sections of the event. All applicants wishing to use the scheme must be able to comply with all points of the Kingfisher Motorsport Declaration in Supp. Regs. Art 14. Insurance Cover.

Anyone aged less than 19 years old will also be accepted at the same price should their codriver be a more senior member of their family or over 25. Any competitor who falls outside these parameters may be offered cover at equivalent terms or an agreed price, if approval from the Appointed Insurance Broker has been obtained by the event organisers, prior to the event. Non-standard policy requests must be submitted to Kingfisher at least 7 days prior to the Event and so competitors affected must contact the En

Recce Car details If BRC

Contact Name & Address
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.

Championships

Motorsport UK Probite British Rally Championship

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

Stellantis Motorsport Rally Cup IRE & UK

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

2025 Protyre Autocare BTRDA Rally Series

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

Motorsport UK Pirelli UK Welsh Rally Championship

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

TCS Plant Rally Challenge hosting the Celtic Micra Challenge

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

ANWCC Forest/Ladies/Allrounder Championships

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

ANWCC Mini Cooper Rally Challenge

Crew Members Registered
None
Driver
Co-Driver
Both
Driver Championship Registration Number
Co-Driver Championship Registration Number

Person to be contacted in case of serious accident to Driver

Name You cannot sign on until this is filled in
Address You cannot sign on until this is filled in
Post Code You cannot sign on until this is filled in
Telephone 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 You cannot sign on until this is filled in
Post Code You cannot sign on until this is filled in
Telephone 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 and Club
Overall Position
No of Starters

Seeding - Competitor Opinion

Out of 160 entries, where do you think you should be seeded?

Scrutineering

When would you prefer to scrutineer?
Friday 1 to 2pm
Friday 2 to 3 pm
Friday 3 to 4 pm
Friday 4 to 5 pm
Friday 5 to 6 pm
Friday 6 to 7 pm
Participating in Recce?
No
Yes

Fees - see above for how to pay

Entry Fee

£
Club Membership

£
Insurance

£
Overnight Parking Victoria

£
Total Money to be sent

£

Entrant (if applicable and not driver)

Name
Competition Licence Number
Club Membership No

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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

Yes
No
We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to our official Video and Photo suppliers 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.

Please refer to our Privacy Policy on www.northwalescarclub.co.uk

Yes
No
The event is not currently open for entries

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Lewis and Hunter Cambrian Rally 2025 - National - Internet Entry Form

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