Grizedale Stages Rally 2019 Internet Entry Form

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

Entries Close: 29th November 2019. Entries are limited to 90, on a "first come, first served basis", with the final 15 places at the discretion of the organisers. There are NO reserved places for any championships.

PLEASE NOTE - Your entry is not confirmed until you have paid in FULL 

Entries Secretary: Sarah Moore
Holme Lea
Bankfield
Beckermet
Cumbria
CA21 2YG
Telephone 01946 841332
e-mail: entry2019@grizedalestages.co.uk

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

 

Welcome to the 2019 Hippo Motor Group Grizedale Stages Rally Online Entry system. Please follow the steps below to enter the rally;

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory. If the driver or navigator are under 18 years of age, a paper copy of the entry form should be downloaded and signed by a parent or guardian, and sent to the Entries Secretary prior to the event.
  2. 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.
  3. Arrange for your bank to pay the entry fee into our account, if you have telephone or Internet banking. We can also accept entries by Paypal (credit / debit card). If you wish to use this option, please write 'Paypal' in the payment method box and follow the online instructions once you have entered the rally (please note that payment by Paypal will incur a fee). If you don't have telephone or Internet banking, send a cheque to the Entries Secretary, above.
    Bank NatWest
    Sort Code 01-04-66
    Account No. 80164420
    Account Name Grizedale Stages Rally
    Reference Driver's full name.
  4. Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. Please note, your entry will NOT be confirmed until we have received payment from you, and you will not appear in the entry list until you have paid. 
  5. 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 entry2019@grizedalestages.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.

 

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
Issuing Authority : MSA / other (state)
E-Mail Address
Club
Date of Birth (if under 18) Note SR 8.4 (Competitors under 18 yrs old must submit to the entries secretary a hard copy of the entry form, signed by their parent or guardian, before the event)
Co-Driver
Full Name
Address
Post Code
Telephone Number
Mobile Number
Competition Licence Number
Issuing Authority: MSA / other (state)
E-Mail Address
Club
Date of Birth (if under 18) Note SR 8.4 (Competitors under 18 yrs old must submit to the entries secretary a hard copy of the entry form, signed by their parent or guardian, before the event)
Car
Make
Model
Colour
Registration Number
Engine Capacity
Year
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Management Car Details
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Sponsor/s
Sponsor Name (Note: this sponsor does not need an entrant's licence)
Championships
ANCC Stage Rally Championship 2019 - Permit No. 71/2019
Crew Members Registered
S G Petch ANECCC Stage Rally Championship 2019 - Permit No. 16/2019
Crew Members Registered
Motorscope Northern Historic Gravel Rally Championship
Crew Members Registered
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 ClubYearType i.e Nat A / Nat BSurface - loose / tarmac / forestOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 90 entries, where do you think you should be seeded?
Scrutineering
When would you prefer to scrutineer? Friday 6th December 1500hrs - 1900hrs (Miller Bridge car park, Ambleside)
Saturday 7th December 0700hrs - 0900hrs (Miller Bridge car park, Ambleside)
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Management Pack and Plate see SR15.3 (optional)£
Additional Vehicles at Skelwith Fold see SR 15.5 (optional)£
Total Money to be sent£
Payment Method and Details
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.

The event is not currently open for entries

Web Entries System provided by rallies.info