Roger Albert Clark Rally 2019 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.r.a.c@gmail.com

Welcome to the Roger Albert Clark Rally, 21st to 25th November 2019

Seeding will take place on 31st October 2019, Entries Close at 12:00 on 7th November 2019. Late entries will be accepted at the organisers discretion

Held under the General Regulations of Motorsport UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Complete all the fields in the form below. The fields with red backgrounds are mandatory. Please put TBA in any red field that you don't have the details for.

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 then two ways to pay:

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 7th November 2019.

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.

Within 24 - 48 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary.

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.

If you don't receive a response within 3 - 4 days of the expected payment date, or if you have any other questions, please e-mail entries.r.a.c@gmail.com

Competition Licences must be obtained from the Motorsport UK 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
Co-Driver

How would you like to receive Finals and Results?

E-mail/Website

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

No
Yes

Four Wheel Drive

No
Yes

Class

Category 1 - Registered before 31.12.67
B1 - Cars up to 1000cc
B2 - Cars up to 1300cc
B3 - Cars 1301cc to 1600cc excluding Twin Cam engined cars
B4 - Cars 1601cc to 2000cc including Twin Cam engined Cars
B5 - Cars over 2000cc including all Porsche 911s
Category 2 - Registered between 01.01.68 and 31.12.74
C1 - Cars up to 1300cc
C2 - Cars up to 1600cc including 2 Valve Twin Cam engined cars
C3 - Cars 1601cc to 2000cc
C4 - Cars over 2000cc
C5 - Cars Over 2000cc including All Multi Valve Twin Cam engined cars
Catergory 3 - Registered between 01.01.75 and 31.12.81
D1 - Cars up to 1300cc
D2 - Cars up to 1600cc including 2 Valve Tqin Cam engines
D3 - Cars 1601cc to 2000cc
D4 - Cars over 2000cc including Multi Valve Twin Cam engined cars
D5 - All othe Multi Valve Twin Cam engned cars
Catergory 4A - Registered between 01.01.82 and 31.12.85
E1 - Cars up to 1600cc
E2 - Cars over 1601cc
Category 4B - Registered between 01.01.86 and 31.2.90
F1 - Cars up to 1600cc
F2 - Cars over 1601cc
Category K - FIA Appendix K cars Registered before 31.12.85
G1 - Cars up to 1600cc
G2 - Cars over 1601cc
Safari - Safari Vehicle Specification up to 31.12.85
H1 - Cars up to 1600cc
H2 - Cars over 1601cc
Open - Roger Albert Clark Open Rally
J1 - Cars up to 1000cc
J2 - Cars 1001cc to 1400cc
J3 - Cars 1401cc to 1600cc
J4 - Cars 1601cc to 2000cc
J5 - Cars over 2000cc

In Car Camera Request

FIA Homologation Number

Insurers

Name

Address

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 Club	Year	Type	Surface	Overall Position	Class Position

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Insurance

£

Full Set of Event Maps

£

Additional 1:25,000 Stage Maps

£

Additional 1:50,000 Competitor Overview Maps

£

Additional Service Overview Maps

£

Management Pack (Maximum of two)

£

Support Vehicle

£

Donation to Marshals £? up to you.

£

Total Money to be sent

£

Payment Method and Details

Cheque made Payable to 'Roger Albert Clark Rally Motor Club' Please write drivers full name on the back.
Bank transfer to, Sort Code 80 - 12 - 08 Account Number 06002797, Reference should contain the drivers full name

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Nationality

Competition Licence Number

Competition Licence Issuer

Marshal Details

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.

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: "I declare that I have been given the opportunity to read the General Regulations of Motorsport UK 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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