Three Shires Stages 2019 Internet Entry Form

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

Entries Close for seeding on Friday 23rd August at 20:00

Please note the Entry Fee is £525

Entries Secretary: Andrew Isherwood

Telephone: 07780 701765
E-mail: entries@threeshiresstages.co.uk

PLEASE NOTE: YOUR ENTRY WILL NOT BE ACCEPTED UNTIL YOU HAVE COMPLETED AND ENTERED YOUR THREE NATIONAL B RALLY RESULTS

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

Welcome to the Three Shires Stages 2019 Online Entry system. Please follow the steps below to enter the rally.

  1. Complete at least the RED MANDATORY fields in the form below and as much other information as possible. Enter TBA in any mandatory fields for which you do not know the details.  Please enter MANDATORY information or any corrections and other missing information by using the "Edit" link in your notification email from us. 
  2. Once you have hit the "Agree to the declaration and Enter the Event" button at the end of the form you will be directed to the payment screen displaying the payment options. You will also receive an email acknowledging receipt of your entry form. 
  3. If paying by BACS take no further action other than leaving the "Pay now" page.  Make your BACS payment in the way you normally would. Pay to Cheltenham Motor Club account. Sort Code 60-05-16 account number 19540124.   Please use Drivers initials and surname as reference.
  4. If paying by Card on Stripe please pay after clicking the  "Agree to the declaration and Enter the Event" button.
  5. If paying by cheque please make it out to 'Cheltenham Motor Club' and send it to the Three Shires Stages Entries Secretary, Westerland, Oakley Road, Battledown, Cheltenham, Glos, GL52 6PA
  6. YOUR ENTRY WILL NOT BE VALID UNTIL YOUR PAYMENT IS RECEIVED AND CONFIRMED.
  7. Expect an email acknowledging online entry and issue of a receipt (RCT) number within 48 hours. If you have any queries please e-mail entries@threeshiresstages.co.uk or call 07780 701765

Competitors under the age of 18 will require the signature of their parent or guardian as Guarantor. A Guarantor is expected to attend the event and sign-on as an entrant. If they are unable to be present a representative can attend but must produce the Guarantor's written and signed authorisation to act on their behalf.

All the data entered on this page will be stored on a computer for the purposes of administering the entries for the Three Shires Stages, and will not be passed to any third parties.

Document Addressing
E-Mail address for communication
Real Name of this person
Whom should we send Finals and Results to?
How would you like to receive Finals and Results?
Driver
Full Name
Address
Post Code
Home Town
Telephone Number
Mobile Number
Competition Licence Number
Competition Licence Issuer
E-Mail Address
Club - See Article 5 (Competitor Eligibility) in the regs.
Date of Birth (if under 18).
Nationality
Driver Publicity
Hobbies
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 - See Article 5 (Competitor Eligibility) in the regs.
Date of Birth (if under 18).
Nationality
Co-Driver Publicity
Hobbies
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
Class
In Car Camera Request
Insurers
Name
Address
Recce Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Service Vehicle
Make
Model
Colour
Registration Number
Contact Name
Contact Number
Sponsor
Sponsor Name (Note: this sponsor does not need an entrant's licence.
If you have an entrant with an entrant's licence,
please give details later.
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  - Please Note: Drivers must have completed at least THREE National B Stage Rallies. (As per SR5 & SR10) 
Event Name and ClubYearTypeSurfaceOverall PositionNo of Starters
Seeding - Competitor Opinion
Out of 120 entries, where do you think you should be seeded?
Recce + Scrutineering
When would you prefer to Scrutineer? 14:00 - 15:45
15:45 - 17:30
17:30 - 19:00
What times would you prefer to Recce? (If this time is in conflict with your scrutineering time please ensure you have a team in place to take your car to scrutineering OR change your Recce or Scrutineering Time) 
Fees - Payable by BACS,Card (Stripe), Cheque or Cash.  Details at top of form.
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
Comments
Any relevant comments?
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 Special Stage TV and M&H Photography 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.

The event is not currently open for entries

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