Winner Garage SKODA Wyedean Stages Rally 2019 Internet Entry Form

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

SATURDAY 9TH NOVEMBER 2019

ORGANISED BY THE FOREST OF DEAN MOTOR CLUB LTD

Entries Secretary: Caroline Hopkinson

Bigsweir House
St. Briavels
Lydney
Gloucestershire,
GL156RR

Tel 01594 530073
E-Mail: wyedeanentries19@gmail.com

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

Welcome to the Winner Garage SKODA Wyedean Stages Rally 2019 On-line 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.
  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. Payment should be made by bank transfer
    1. With internet or telephone banking, you can arrange for the fees to be paid directly into our account. 
      Bank Lloyds Bank plc
      Sort Code 30-95-29
      Account No. 00235401
      Account Name Forest of Dean M C Ltd
      Reference Driver's and CoDriver's Surnames
    2. Within 24 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 do not receive a response within 3 days of the expected bank transfer payment date, or if you have any other questions, please e-mail wyedean@gmail.com

All the fields with a red background must be filled in, or you will not be able to continue with your entry. Please put TBA in any red field which you do not know the details for.

Please provide any missing information or advise any changes by e-mail as soon as you are aware of them and as far as possible prior to arriving at the event.

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
Home Town (Important for Media)
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Nationality
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 (Important for Media)
Telephone Number
Mobile Number
Competition Licence Number
E-Mail Address
Club
Date of Birth
Nationality
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 / Rotary engine
Four Wheel Drive
Class
In Car Camera Request?
FIA Homologation Number
Your Insurers details if NOT using JELF Scheme 
Insurer & Policy No.
Address.
Championships
English Rally Championship BTRDA 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Pirelli Welsh Stage Rally Championship 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
Welsh Historic Rally Championship WAMC 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
HRCR Stage Masters Challenge 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
ANWCC Forest Rally Championship 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
WAMC Junior Challenge 2019
Crew Members Registered
Driver Championship Registration Number
Co-Driver Championship Registration Number
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 information - Please provide a minimum of your 3 best results achieved as a driver since 1st January 2015. This information will be checked.
Event Name and ClubYearTypeSurfaceOverall PositionClass Position
Seeding - Competitor Opinion
Out of 120 entries, where do you think you should be seeded?
Fees - see above for how to pay
Entry Fee £
Club Membership £
Insurance £
Total Money to be sent£580.00
How will you pay?
Entrant (only complete if you hold a 2019 Motorsport UK entrants licence)
Name
Address
Post Code
Telephone Number
Competition Licence Number
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 the information you provide 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 our event photographer, 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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