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ATL Carlisle Stages 2018 Internet Entry Form

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

Entries Secretary:

Victoria Heppenstall

2 Monroe Avenue

Lindsayfield

East Kilbride

G75 8WA

Telephone: (H) 01355 276483
E-Mail: entries.carlislestages@gmail.com

Welcome to the ATL Carlisle Stages Rally 8/9th June 2018

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

1. You can send a cheque, made payable to 'Roger Albert Clark Rally Motor Club Ltd' to the Entries Secretary at the address above. Please include drivers full name on back of cheque . Competitors wishing to pay by cheque can do so in full or please refer to Article 8.9 of the regulations for staged payments. Cheques should reach the Entries Secretary within 5 days of the entry being made and no later than Thursday 31st May 2018.

2. Competitors wishing to make direct payments into the bank should use the following account details:

Sort Code  80-12-08  Account Number 06002797 Reference should contain the drivers full name.

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

 Competition Licences must be obtained from the MSA prior to the event. Licence applications cannot be accepted at documentaion 

 

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
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
Competition Licence Issuer
E-Mail Address
Club
Date of Birth
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
Four Wheel Drive
Class
In Car Camera Request
FIA Homologation Number
Insurers
Name
Address
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
FUCHS Lubricants MSA British Historic Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Motorscope Northern Historic Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Rally 2WD Challenge
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
JORDAN ROAD SURFACING Gold Star Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
JORDAN ROAD SURFACING Silver Star Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
BTRDA 1400 Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
BTRDA Rally First Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ST Trophy
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
BTRDA Rallye R2 Cup
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
BTRDA Historic Cup
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
BTRDA Production Cup
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Maxxis Tyres MSA English Rally Championship
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Border Challenge
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 Position

Class Position

Scrutineering
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Donation to Marshals £? up to you.£
Management pack£
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
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.

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."

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