Armstrong Galloway Hills Rally Internet Entry Form

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

The event will be governed by the 2019 General Regulations of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA), the Motor Vehicles (Competitions and Trials) (Scotland) Regulation 1976, the Supplementary Regulations for the event, Supplementary Regulations issued by any championship which this event forms part of, and any written instructions the promoting Club may issue for the event.

To enter the Armstrong Galloway Hills Rally, please follow the steps below:

1. The Supplementary Regulations for the event can be found HERE. Please read them before entering.

2. Please complete the entry form in full, leaving as few blanks as possible. Incomplete forms will be refused.

3. The fields with red backgrounds are mandatory and must be filled in otherwise you will not be able to submit your entry.

4. Payment details will be emailed to you with your Entry Acknowledgement, or can be found in the Supplementary Regulations, Article 8.

5. Remember: your entry remains provisional until receipt of your full payment. Please remember, only entries which have been fully paid by the closing date will be seeded.

6. If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail the Event Secretary.

Entries will close for seeding on Wednesday 4 September 2019.

Name of person completing the Entry Form

E-Mail address for communication

Real Name of this person

Driver

Full Name

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number

Competition Licence Grade

E-Mail Address

Club

Age on Saturday 8 September 2018

17, 18 or 19 years old
20 years old, or older

Name as it appears on Competition Licence

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

Name of Driver's Parent or Guardian

Address (if different from Driver)

Telephone Number (contactable on the day of the event)

Relationship to Driver

Co-Driver

Full Name

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number

Competition Licence Grade

E-Mail Address

Club

Age on Saturday 8 September 2018

16 or 17 years old
18 years old, or older

Name as it appears on Competition Licence

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

Name of Driver's Parent or Guardian

Address (if different from Co-Driver)

Telephone Number (contactable on the day of the event)

Relationship to Co-Driver

Car Details - see SR Article 6

Make

Model

Colour

Registration Number

Engine Capacity

Class

1 - All two wheel drive cars up to 1450cc.
2 - All two wheel drive cars with capacities between 1451cc to 1650cc, with 8 valves or less.
3 - All two wheel drive cars with capacities between 1451cc to 1650cc, with more than 8 valves.
4 - All two wheel drive cars with capacities between 1651cc - 2050cc, with 8 valves or less.
5 - Historic Category 1, 2 & 3 Rally Cars as defined in the General Regulations of the MSA.
6 - All front wheel drive cars with capacities between 1651cc - 2050cc, with more than 8 valves.
7 - All rear wheel drive cars with capacities between 1651cc - 2050cc, with more than 8 valves.
8 - All two wheel drive cars with capacities 2051cc and over.
9 - Any other four wheel drive cars not classified in Class 10 or 11, without a sequential gearbox.
10 - FIA Homologated GpA four wheel drive, Super 2000 & R4 cars, and any cars previously homologated as such, providing these run as per their FIA homologation papers. All Metro 6R4’s and any derivative therefrom. Any other four wheel drive car not classified in class 11, with a sequential gearbox.
11 - FIA Homologated WRC cars and cars previously homologated as such, and FIA Homologated R5 cars. Any derivative therefrom.

Insurance - see SR Article 21

Insurance

I will be using my OWN Insurance
I will be using the Event Insurance [REIS]

State Name of Insurer, only if using your own Insurance

Service Vehicle - see SR Article 15

Make/Model

Colour

Registration Number

Service Contact Name

Mobile Number (contactable on the day of the event)

Auxiliary Service Vehicle - see SR Article 15 re permitted vehicles

Make/Model

Colour

Registration Number

Auxiliary Service Contact Name

Mobile Number (contactable on the day of the event)

Sponsor

Sponsors/Supporters: (This information may be used to aid our Press Officer with pre/post event PR, and/or Social Media updates)

Person to be contacted in the case of a serious accident involving the Driver

Name

Telephone Number (contactable on the day of the event)

Relationship to Driver

Will this person be attending the event?

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

Name

Telephone Number (contactable on the day of the event)

Relationship to Co-Driver

Will this person be attending the event?

Seeding Information

Event Name	Year	Surface	Overall Position	Class Position

Fees - see SR Article 8 for remittance details

Entry Fee

Car Club Membership

Insurance

Test Day Friday

Total Money to be sent

Ferry Booking Information - see SR Appendix A for full T&Cs and Sailing Times]

Total number of people travelling:

Outbound Stena Line sailing from Belfast to Cairnryan:

WHAT DAY?

Outbound Stena Line sailing from Belfast to Cairnryan:

WHAT TIME?

Homeward Stena Line sailing from Cairnryan to Belfast:

WHAT DAY?

Homeward Stena Line sailing from Cairnryan to Belfast:

WHAT TIME?

Comments

Any other information you'd like to tell us?

If your Service vehicle is larger than a LWB Transit or Sprinter sized van, please say here.

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.

No
Yes

Remember: your entry remains provisional until receipt of your full payment. Please remember, as per SR Article 8, only entries which have been fully paid by the closing date will be seeded.

By clicking on the "Agree to the declaration and Enter the Event" button below you agree to the following: "I have been given an opportunity to read the General Regulations of the Motor Sports Association and 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 event and the potential risk inherent with motor sport and agree to accept that risk."

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