Pennine Trophy Targa & Classic 2021

Entries Secretary:

Paul Slingsby

Wharfedene

Ben Rhydding Drive

Ilkley

LS29 8BG

Mob: 07747 808579

email: paul.slingsby@ancc.co.uk

The Pennine Trophy Targa & Classic Rally is held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations.

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

Document Addressing

E-Mail address for communication This must be filled in to continue

Real Name of this person This must be filled in to continue

Whom should we send Finals and Results to?

Driver

Co-Driver

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

E-Mail Address

Club: APMCC, CDMC or KLMC? You cannot sign on until this is filled in

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Co-Driver

Full Name This must be filled in to continue

Address

Post Code

Telephone Number

Mobile Number

Competition Licence Number You cannot sign on until this is filled in

E-Mail Address

Club: APMCC, CDMC or KLMC? You cannot sign on until this is filled in

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

Engine Capacity

Class You cannot sign on until this is filled in

M - Master

E - Expert

S - Semi Expert

N - Novice

H1 - Cars of a specification valid before 1.1.68 as per R19.1.1

H2 - Cars of a specification valid between 1.1.68 and 31.12.74 as per R19.1.2

H3 - Cars of a specification valid between 1.1.75 and 31.12.81 complying with Group A or Group N or are series production cars as per R19.1.3

H4 - Cars of a specification valid between 1.1.82 and 31.12.85 complying with Group A or Group N or are series production cars as per R19.1.5

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 Targa & Historic Rallies

Event Name and Club

Year

Type

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 60 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

Club Membership

Insurance

Optional Donation to Jack's Journey

Total Money to be sent

Payment Method and Details This must be filled in to continue

Cheque

Bank Transfer

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Competition Licence Number

Club Membership No

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.

Yes

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to [INSERT VIDEO COMPANY HERE] and [INSERT PHOTO COMPANY HERE] 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.

Yes

The event is not currently open for entries

Bank	Halifax Bank
Sort Code	11-06-96
Account No.	12109163
Account Name	Airedale & Pennine
Reference	Driver's full name.

Pennine Trophy Targa & Classic 2021 - Internet Entry Form

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