Cefni Garage Trac Môn Targa Rally 2025

Document Addressing

E-Mail address for communication - please enter carefully! This must be filled in to continue

Actual name of this person This must be filled in to continue

Driver

Driver 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

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

Date of Birth if under 21 years old

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Navigator/Co-driver

Navigator 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

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

Date of Birth if under 21 years old.

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car & Class

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

Cubic capacity

Class entered as a crew (see SR 7) This must be filled in to continue

-

1 - Interclub Expert

2 - Interclub Semi Expert

3 - Interclub Novice

4 - Clubman Expert

5 - Clubman Semi Expert

6 - Clubman Novice

Championships

BTRDA Targa Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Championships

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

Address

Post Code

Telephone Number

Relationship

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

Name

Address

Post Code

Telephone Number

Relationship

Seeding - Past Performance on Rallies

Event Name

Year

Status

Class Entered

Class Position

Overall Position

Fees - see above for how to pay

Entry Fee

£

Total Money to be sent

£

Payment Method This must be filled in to continue

Bank Transfer - details at top of page. Reference = TR and driver's name.

Marshal Details

Name

Mobile Number

Email Address

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 may 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 email addresses to an official photographer who may offer you 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	HSBC
Sort Code	40-16-02
Account No.	01166034
Account Name	C&A Motor Club
Use the reference:	TR + Driver's name.

Cefni Garage Trac Môn Targa Rally 2025 - Internet Entry Form

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