Beatson's Building Supplies Knockhill Stages 2017 Internet Entry Form

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

www.knockhill.com
www.dunfermlinecarclub.co.uk  

Welcome to the Beatson's Building Supplies Knockhill Stages
Entries Open 22nd October 2017 @ 20:00hrs 
Entries Close for seeding on 19th November 2017 @ 23:59hrs
Late entries will be accepted after this date.

**NOTE - Prioirity of entry will be given to Motorsport News Circuit Rally Championship competitors for the first 24 hours **

Entries Secretary: Fergus Gray
Tigh na Muileann
Auchterarder
Perthshire
PH3 1EU
Telephone 07720 295 950 (Between 18:00 and 21:00)
e-mail: entries@dunfermlinecarclub.co.uk

The entry fee for this event is £250.
 

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

  1. The bank details are:-

    Bank

    RBS

    Sort Code

    83-19-01

    Account No.

    00140673

    Account Name

    DCC

    Reference

    Driver's Inital and Surname

    Alternatively the payment can be made at any branch of the RBS quoting our accounts details and ensuring your name is included on the narrative.
    If you wish to make payment by PayPal there will be a £10.50 surcharge in addition to the entry fee.
    Within 48 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 ACCEPTED

    All the fields with a red background must be filled in, or you will not be able to continue
     Please put TBA in any red field which you do not know the details for and, as soon as these details are known, please email them to the entries secretary.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send final instructions and entry tickets to?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club (If no club is entered in here it is assumed you will require membership of DCC)
Nationality
Driver Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club (If no club is entered in here it is assumed you will require membership of DCC)
Nationality
Co-Driver Publicity
Hobbies
Married?
No of Children
How Long Rallying?
Notable Results
Any other information
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car
Make
Model
Colour
Registration Number
Engine Capacity
Year
Forced Induction / Rotary
Four Wheel Drive
Class
In Car Camera Request
Service Vehicle
Make
Model
Colour
Registration Number
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence)
Championships
Motorsport News Circuit Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
MSN Rally Champ Michelin Cup Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
MSN Rally Champ Protyre Challenge Competitor
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
MSN Rally Champ Hockly Swift Cup Competitor
Crew Members Registered
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
Will this person be attending the event?
Person to be contacted in case of serious accident to Co-Driver
Name
Address
Post Code
Telephone Number
Relationship
Will this person be attending the event?
Seeding - Past Performance on Rallies
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 60 entries, where do you think you should be seeded? Please enter a exact number as entering a range or leaving blank makes seeding more difficult
Scrutineering
When would you prefer to scrutineer? - Note The schedule on Sunday morning will be very tight. Please try to attend scrutineering on the saturday. Saturday
Sunday
Fees - see above for how to pay
Entry Fee £
Club Membership (Please Select) £
Donation to the Marshals Fund (Please Select)£
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer

The details on this form will be held on computer in order to be used for the administration of this event. They will also be used to send you information about future events organised by this club, unless you untick this box to indicate you do not wish to receive information on further events.
The details on this form may also be passed on to other motorsport organisations, unless you untick this box to indicate you do not wish these details passed on.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: "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 the 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.."

I also understand that Motorsport News Circuit Rally Championship Competitors will be given priority of entry for the first 24 hours.

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