The Pentraeth Glyn Memorial Stages 2022

Entries open at 21.30 hours on 10/10/2022.
Entries Close at 18.00 hours on 14/11/2022.

Entries Secretary:
Dafydd Edwards
92 Lôn Hedydd
Llanfairpwllgwyngyll
LL61 5JY

Tel: 01248 714165

E-Mail: camcsport@gmail.com

Welcome to the Caernarvonshire & Anglesey Motor Club's Pentraeth Glyn Memorial Stages 2022 online entry system, held under the General Regulations of Motorsport UK (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.
We have a virtual notice board at https://padlet.com/glynstages22/Noticeboard where you can be kept informed of the latest information.

Please follow the steps below to enter the rally.

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 This must be filled in to continue

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

Driver

Driver's name (as on your Motorsport UK Competition Licence - no nicknames please) 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 You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Date of Birth if under 18 years old

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) 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

Competition Licence Number

Competition Licence Issuer

Co-Driver

Co-Driver's name (as on your Motorsport UK Competition Licence - no nicknames please). 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 You cannot sign on until this is filled in

Club Membership No You cannot sign on until this is filled in

Date of Birth if under 18 years old

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) 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

Competition Licence Issuer

Car

Make You cannot sign on until this is filled in

Model You cannot sign on until this is filled in

Colour

Registration Number

4WD

Yes

Class This must be filled in to continue

A - Up to and including 1400cc

B - 1401cc up to and including 1600cc

C - 1601cc up to and including 2000cc

D - 2001cc and over

E - Road Rally class (as per 2022 Blue Book)

F - Formula 1000

H - HRCR Mini Sport Cup

Competition Car Logbook Number You cannot sign on until this is filled in

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

Event - YOU MUST SELECT AN OPTION

Which event do you wish to enter? This must be filled in to continue

The Pentraeth Glyn Memorial Stages

The Pentraeth Glyn Memorial Junior Stages

Bank	HSBC
Sort Code	40-16-02
Account No.	01166034
Account Name	C&A Motor Club
Reference	Driver's full name.

The Pentraeth Glyn Memorial Stages 2022 - Internet Entry Form

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