Northumberland Borders Rally 2018 Internet Entry Form

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

Welcome to the online entry system for the 2018 Mini Cooper Register Northumberland Borders Rally and its' sister event, the Tynedale Rally for novices.

Kindly sponsored once again by YBracing http://www.ybracing.com/, one of the UK's largest suppliers of Motorsport equipment and OMP products, both events are held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA), the Supplementary Regulations and any written instructions the organisers may subsequently issue for them.

http://www.northumberlandbordersrally.co.uk/Rally_regs%2018.pdf

Please follow the steps below to enter either rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.

Once you have hit the "Enter the Rally" button at the bottom, you will receive an automated response confirming we have received your entry form.

There are then three ways to pay for your entry, as follows:

1) Bank transfer - by arranging for your entry fee to be paid directly into the following account:

Bank	Natwest
Sort Code	600117
Account No.	81118333
Account Name	Niall Cook
Reference	Car Registration Number

2) PayPal - using your debit, credit card or PayPal account

3) Cheque - by making this payable to 'Niall Cook' and posting it, along with your car registration mark, to Sheila Ross, Entries Secretary, c/o the following address

188 Wingrove Road, Fenham, Newcastle-upon-Tyne, NE4 9DB

Mobile: 07748 111178
Email: darsmr188@gmail.com

PLEASE NOTE THAT WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. Note also that post dated cheques will not be accepted.

Within 24 hours of us receiving the payment for your entry, you should receive an e-mail confirming your entry, unless you pay by cheque, which might take up to 14 days to clear.

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: darsmr188@gmail.com

All the fields with a red background must be filled in, or you will not be able to continue. Please also put TBC in any red field for which you do not currently know the details for (but send them as soon as you do!).

Finally, please note that entries close for seeding at midnight on Saturday 10th November.

Thank you for your entry.

The organisers.

http://www.northumberlandbordersrally.co.uk/

https://www.facebook.com/pages/Northumberland-Borders-Rally/292931404194573

Document Addressing

E-Mail address for communication

Real Name of this person

Whom should we send Finals and Results to?

Driver
Navigator
Both

How would you like to receive Finals and Results?

E-mail/Website
Posted Paper

Driver

Full Name

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number (Borders only)

E-Mail Address

Club

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Navigator

Full Name

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number (Borders only)

E-Mail Address

Club

Navigator'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

Class

- Expert (Borders)
- Newcomer (Borders)
- Novice (Tynedale)

Insurers - please provide details of cover if not using our REIS scheme (see below)

Name

Address

Championships

Historic Rally Car Register Premier Rally

Crew Members Registered

None
Driver
Navigator
Both

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 Navigator

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Seeding - navigator's top three or more performances on similar events in the last five years

Event Name and Club	Year	Type	Overall Position	No of Starters

Fees - see above for how to pay

Entry Fee

Borders - £75

Tynedale - £60

Insurance

Vehicles must have insurance in place which provides Third Party Liability cover that complies with the Road Traffic Act. This can be either, by extending an existing motor policy to cover the event, or, by purchasing additional cover as an adjunct to an existing motor policy.

If a competitor uses an extension to an existing policy, they will be required to sign a declaration that the cover complies with the requirements of the Road Traffic Act. Any responsibility for a fraudulent or misleading declaration about existing cover lies with the competitor. If a competitor wishes to purchase additional cover via the organisers they can do so prior to the event providing they comply with the following:

Aged 19 years or over
Has held a full driving licence for a minimum of six months
Has no more than 6 points on their licence
Has no more than 1 fault claim in the last three years
The vehicle has valid tax, MOT and is currently insured for road use

Anyone aged less than 19 years old will also be accepted at the same price should their co-driver be a more senior member of their family or over 25.

The basic rate for the event will be £20.

Any competitor who falls outside these limits may be may be offered cover at equivalent terms or an agreed price, if approval from REIS has been obtained by the organisers prior to the event.

Additional cover provided by this scheme is only effective whilst the vehicle is actively competing in the event, and remains under the control or direction of the event organisers. Cover will cease immediately if you are precluded, excluded or retire from

Spill kit - £5

Total Money to be sent

Payment Method and Details

Bank transfer
PayPal
Cheque

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

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] 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.

No
Yes

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:

1 I have been given an 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 and competent to take part in the event. I understand that motorsport is dangerous and accidents causing death, injury, disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks.

2. To the best of my belief the driver(s) possess(es) the standard of competence necessary for an event of the type to which this entry relates and that the vehicle entered is suitable and roadworthy for the event having regard to the course and the speeds which will be reached.

3. The use of the vehicle hereby entered is covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by the law.

4. I understand that should I at the time of any event in this event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of the vehicle, I may not take part unless I have declared such disability to the Royal Automobile Club Motor Sports Association Ltd which has, following such declaration, issued a licence which permits me to do so.

5. Any application form for a licence which was signed by a person under the age of 18 years was countersigned by that person’s parent/legal guardian/guarantor, whose full names and addresses have been given.

6. If I am the Parent/Guardian/Guarantor of the driver/co-driver I understand that I shall have the right to be present during any procedure being carried out under the Supplementary Regulations issued for this event and the General Regulations of the MSA. As the Parent/Guardian/Guarantor I confirm that I have acquainted myself with the MSA General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those Regulations (and any subsequent alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Part 3, Appendix 1.

Note:Where the Parent/Guardian/Guarantor is not present there must be a representative who must produce a written and signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate.

7. I hereby agree to abide by the MSA Child Protection Policy and Guidelines and the National Sporting Code of Conduct.

8. I undertake that at the time of the event to which this entry relates I shall have passed or am exempt from an ASN specified medical examination within the specified period. (H10.1.6)

9. I have read and fully understood the Procedure for Control of Drugs and Alcohol as contained in the Competitors’ and Officials’ Yearbook Regulations H39, D35.1, G15.1.4 and have also familiarised myself with the information on the websites referred to (www.ukad.org.ukand www.wada-ama.org) in particular the UK Anti Doping Rules which have been adopted by the MSA (as amended). Further, if I am counter-signing as the Parent/Guardian/Guarantor of a minor then in addition to the deemed consent to the testing of that minor (Art 5.6.2) I hereby confirm that I give such consent for the minor concerned to be so tested.

Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of the MSA and its associated clubs, the organisers, the land owners or other occupiers, the promoters and their respective officers, servants, representatives and agents (“the Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the event. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this event.

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