The Colin Ellmore Memorial Rally 2025

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

Whom should we send Finals and Results to? This must be filled in to continue

Driver

Co-Driver

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 You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

E-Mail Address This must be filled in to continue

Club This must be filled in to continue

Club Membership No You cannot sign on until this is filled in

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard 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

Competition Licence Issuer

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 You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

E-Mail Address This must be filled in to continue

Club This must be filled in to continue

Club Membership No

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard 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 Licence Issuer

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour This must be filled in to continue

Registration Number This must be filled in to continue

Engine Capacity This must be filled in to continue

FIA Fuel?

No

Yes

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

Class This must be filled in to continue

A - Homologated FIA Rally 5 and Rally 5-Kit cars Homologated (and formerly homologated) FIA Rally 2 and R5 cars and any derivatives*. FIA S2000 specification cars and any derivatives All World Rally cars (must comply with their homologation)

B - All other 4-wheel drive cars over 2000cc. (Not including derivatives of R5/Rally2 cars). Homologated FIA Rally 3 cars and Group N4 that still comply with their homologation.

C - 2-wheel drive cars with normally aspirated engines over 2000cc or forced induction engines over 1500cc, plus all FIA RGT cars.

D - Cars with normally aspirated engines over 1600cc up to and including 2000cc, forced induction engines up to 1500cc, and all homologated FIA Rally4 and R2 cars with forced induction engines.

E - Cars with normally aspirated engines over 1400cc up to an including 1600cc, forced induction engines up to and including 1000cc,.and Homologated FIA Rally 5 and Rally 5-Kit cars

F - Cars with normally aspirated engines up to and including 1400cc

In Car Camera Request

Competition Car Logbook Number You cannot sign on until this is filled in

Service Vehicle

Make

Model

Registration Number

Contact Name

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

Clubman Motorsport EMAMC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Alpha Concrete ANEMMC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Proflex Shock Absorbers 2025 ANCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

GTM AEMC / ASEMC 2025 Stage Rally Championship

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 This must be filled in to continue

Address This must be filled in to continue

Post Code

Telephone Number This must be filled in to continue

Relationship

Will this person be attending the event?

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

Name This must be filled in to continue

Address This must be filled in to continue

Post Code

Telephone Number This must be filled in to continue

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Type

Surface

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 40 entries, where do you think you should be seeded?

Scrutineering

. Sunday scrutineering only by appointment between 07:00am and 08: 30 am, You cannot sign on until this is filled in

Saturday 17:00 to 20:00hrs

Sunday 07:00 to 0800 hours.

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Total Money to be sent

£

Payment Method and Details This must be filled in to continue

Bank Transfer

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 MadVideo and Kevin Money 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

The event is not currently open for entries

Bank	Lloyds Bank PLC
Sort Code	30-95-05
Account No.	00202142
Account Name	LINCOLN MOTOR CYCLE & CAR CLUB LTD
Reference	Driver's full name only ,THIS IS IMPORTANT

The Colin Ellmore Memorial Rally 2025 - Internet Entry Form

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