Summer Stages Rally 2019 Internet Entry Form

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

G-MSC Logo

 Summer Stages Rally

15th June 2019

Online Entry System opens at 19:00 on Sunday 5th May 2019. 

Note that if you want the Junior event, it is on a separate page:
https://www.rallies.info/webentry/2019/summerjunior/webentry.php

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

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.
  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.

This year we are only accepting electronic payments. The entry fee is £260.00.

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

The details are:-

Bank Bank of Scotland
Sort Code 80-16-84
Account No. 00602954
Account Name Glenrothes Motor Sport Club
Reference Driver's First name and Surname

Alternatively the payment can be made at any branch of the BoS quoting our accounts details and ensuring your name is included on the narrative.

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

It is essential that you complete the seeding section, if left blank the entry will be treated as incomplete, unless you have never finished a rally!

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE ACCEPTED

If the payment is coming from someone other than the driver or navigator (sponsor, Company, mistress, Panama account etc) please email treasurer@glenrothes-msc.com so we can match the payment

All the fields with a red background must be filled in, or you will not be able to continue

Document Addressing
E-Mail address for communication
Real Name of this person
Driver
Full Name
Address
Post Code
Home Town
Contact Number
Competition Licence Number
Competition Licence Issuer
Competition Licence Grade
E-Mail Address
Club
Date of Birth
Medical condition or disability or on anti-coagulant therapy (solely for use of Chief Medical Officer in the event of an accident - please provide details in "Comments")
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
Contact Number
Competition Licence Number
Competition Licence Issuer
Competition Licence Grade
E-Mail Address
Club
Date of Birth
Medical condition or disability or on anti-coagulant therapy (solely for use of Chief Medical Officer in the event of an accident - please provide details in "Comments")
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 (cc)
Forced Induction
Four Wheel Drive
Class
In Car Camera Request
Championships
The Cobble Shop Scottish Tarmack Rally Championship
Crew Members Registered
AS Performance North of England Tarmacadam 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 since 1 Jan 2015
Event Name and ClubYearSurfaceOverall Finishing PositionNo of Starters
Seeding - Competitor Opinion
Out of 75 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Total Money to be sent£
Payment Method and 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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to Eddie Kelly Motorsport Photography and West Coast Photos 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.

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:
1) 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. I understand that motor sport can be 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. The use of the vehicle hereby entered will be 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.
3) I understand that should I at the time of 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 ASN which has, following such declaration, issued a licence which permits me to do so. 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)
4) 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.
5) If I am the Parent/Guardian/Guarantor of the 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 Motorsport UK. As the Parent/Guardian/Guarantor I confirm that I have acquainted myself and the minor 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 Guardian who must produce a written and signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate.
6) I hereby agree to abide by the Motorsport UK Child Safeguarding Policy and Guidelines and the National Sporting Code of Conduct.
7) I have read and fully understood the Procedure for Control of Drugs and Alcohol as contained in the Motorsport UK Yearbook Regulations H39, D35.1, G15.1.4 and have also fully familiarised myself with the information on the web sites referred to (www.motorsportuk.orgwww.ukad.org.uk and www.wada-ama.org) in particular the UK Anti Doping Rules which have been adopted by Motorsport UK. Further, if I am counter-signing as the Parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UK Anti-Doping Rule 5.7.2) I hereby confirm that I give consent for the minor concerned to be so tested.
8) I understand that my personal data is being processed solely for the purposes of running this event and will be handled by the organisers in accordance with Motorsport UK data protection policy which can be found at www.motorsportuk.org/data-protection.
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 track 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 including but not limited to damage to property, economic loss, consequential loss or financial loss howsoever caused. 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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