Document Addressing E-Mail address for communication Real Name of this person Whom should we send Finals and Results to? Driver Co-DriverDriver Full Name Address Post Code Home Town (Important for Media) Telephone Number Mobile Number Competition Licence Number Competition Licence Issuer (if not MSA) E-Mail Address Club Date of Birth Nationality (if not British) 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 Competition Licence Issuer (if not MSA) E-Mail Address Club Date of Birth Nationality (if not British) 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
Forced induction engines (except diesel) subject to
capacity coefficient of 1.7.
No YesFour Wheel Drive No YesClass RF1.0 - BTRDA Rally First cars aup to and including 1000cc RF1.4 - BTRDA® Rally First cars up to and including 1400cc RF2.0 - BTRDA® Rally First cars over 1400cc up to and including 2000cc 1400S - All other cars up to and including 1400cc that are not eligible for class 1400C or BTRDA Rally First RF1400 1400C - Cars up to 1400cc with:- (a) 8 valve engines (b) Engines with more than 8 valves that retain the standard fuel and inlet manifold systems (c) Engines up to 1000cc not eligible for the BTRDA Rally First Class RF 1.4. - Remote reservoir suspension systems are not permitted unless fitted as standard or homologated. N3 - Current and former FIA Group N cars over 1400cc up to and including 2000cc NR4 - Current and former FIA Group N cars over 2000c R2 - All FIA R2(B) cars B10 - Over 1400cc up to and including 1600cc B11 - Over 1600cc up to and including 2000cc B12 - Over 2000cc two wheel drive, including all FIA R3T cars B13 - Over 2000cc four wheel drive cars that do not qualify for Classes NR4 or B14, and FIA R4 cars B14 - Current and former World Rally cars with a sequential gearbox, plus current and former S2000 and FIA R5 cars and any derivatives there from H1/2 - All Historic Category 1 and 2 cars and Category 3 cars with single cam engines and Category 4a up to 1600cc H3 - Historic Category 3 cars with multi cam engines over 1600cc plus Category 4a cars and Category 4b cars up to 1600cc H4 - Historic Category 4b cars over 1600cc which comply with R49.1.5In Car Camera Request? We will not have a camera We will have a camera and event sticker in shot We will have a camera but no event sticker in shotFIA Homologated ? Yes / No Insurers details if NOT using REIS Scheme Insurer & Policy No. Address. Management Vehicle Make Model Colour Registration Number Contact Name Contact Number Service Vehicle Make Model Colour Registration Number Contact Name Contact Number Extra 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. Championships BTRDA® Gold Star Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number BTRDA® Silver Star Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number Fuchs Lubricants BTRDA® Bronze Star 1400 Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number BTRDA® Production Cup Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number BTRDA® Historic Cup Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number MRF Tyres BTRDA® RALLY FIRST Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number BTRDA® Rallye R2 Cup Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number BTRDA® Rallye R5 Cup Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number The MRF ST Trophy Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number MRF Tyres BTRDA® Mixed Surface Challenge Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number Seacon Motorsport UK English Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number HRCR Motoscope Northern HIstoric Rally Challenge Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number SG Petch ANECCC Stage Rally Championship Crew Members Registered None Driver Co-Driver BothDriver Championship Registration Number Co-Driver Championship Registration Number ANWCC Forest Stage Championship Crew Members Registered None Driver Co-Driver BothDriver 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 - Past Performance on Rallies Seeding - Competitor Opinion Out of 50 entries, where do you think you should be seeded? Scrutineering Fees - see above for how to pay Entry Fee £ Club Membership £0.00 - None 15.00 - One Crew Member 30.00 - Both Crew Members Insurance £0.00 - I have my own insurance 25.00 - REIS - Standard Premium 37.50 - +50% Loading 50.00 - +100% Loading Management Plate £ Extra Service ( One included in entry fee) £ Tracking £ Total Money to be sent £ How will you pay? (Bank Transfer / PayPal / Cheque) Entrant (if applicable and not driver) Name Address Post Code Telephone Number Nationality Competition Licence Number Competition Licence Issuer Comments Comments:
NOTE: You will be asked to complete a brief questionnaire for the Media Pack / Motorsport News, etc. when your entry is accepted. 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 YesWe would also like to be allowed to pass on your Name, Address, Post Code and email addresses to videographers Special Stage Review and our Official Photographers 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.
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.
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.
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.."