Shaw Trophy Targa Rally 2018 Internet Entry Form

Entries Close for seeding on 2nd June 2018 at 12.00 pm

 

Entries Secretary: Gordon Bradford
13 Beverley Drive, Swalwell, Newcastle upon Tyne, NE16 3EH

Telephone 07412 107269

e-mail:
entries@shawtrophy.co.uk

 

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

 

Welcome to the Shaw Trophy Targa Rally Online Entry system

 

Please follow the steps below to enter the 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 end you will receive an automated response confirming we have received your entry form.

 

There are three ways to pay

If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account.   The details are:-                                                                                                                                                                                 

   
Sort Code 20 58 17
Account No. 50889318
   
Reference Driver's Name

- Cheque made payable to Whickham & District Motor Club  to the Entries Secretary at the address above (No Cheque entries accepted after 2nd June 2018, post dated cheques are not accepted.)

- Cash at a club night.                                                         

                                                                           

 ***Please be aware that your entry will not be accepted UNTIL PAYMENT IN FULL HAS BEEN RECEIVED and cleared.***                                                                                                                                                                                                                                                                                                                                                                                                                                                                       

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 entries@shawtrophy.co.uk

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  (but send them as soon as you do!)

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
Telephone Number
Mobile Number
E-Mail Address
Club
Date of Birth
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
E-Mail Address
Club
Date of Birth
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
Non Compliant Historic Car

 

Please tick the box if your car does NOT comply with Road Rally Regs 18.2.1 - 18.2.4 ie more than 2 cams/2 chokes/more than 4 cyls

Class
 INSURANCE If you wish to use our Insurance state "Event Insurance" if you have you own please state the name & address of the Insurance company
Name
Address
Marshal Car Information
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 - Past Performance on Rallies
Event Name and ClubYearTypeOverall PositionNo of Starters
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Marshal Details
Name
Address
Post Code
Telephone Number
Mobile Number
Email Address
Experience
Comments

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 and all requested information. 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 consent to the organising committee using the information I have given for the purpose of displaying relevant details on an entry list to be made available to the public via written and electronic means, and for mailings to promote future editions of the Shaw  Trophy Targa Rally. The information provided will be treated in confidence and will be held in compliance with the Data Protection Act 1998. Crews personal details will be shared with members of the Rally and Whickham & District Motor Club Committees and address labels/email addresses for the purposes of distributing Press Releases and advertising their services. I understand you cannot verify that the Official Photographers/Media will not share such information with other organisations or individuals.

MSA Indemnity

Held under the General Regulations of the Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA) and these Supplementary Regulations.

I declare that:

In consideration of the acceptance of this entry, I agree that neither any one or of 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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