Kielder Forest Rally 2023 - Internet Entry Form

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

Telephone Number

Mobile Number You cannot sign on until this is filled in

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

Competition Licence Issuer

E-Mail Address You cannot sign on until this is filled in

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 (only if under 18)

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 You cannot sign on until this is filled in

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

Competition Licence Issuer

E-Mail Address You cannot sign on until this is filled in

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 (only if under 18)

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

Name

Address (if different)

Post Code

Telephone Number

Relationship

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour

Registration Number You cannot sign on until this is filled in

Engine Capacity You cannot sign on until this is filled in

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

In Car Camera Request

No

Yes

Insurance Details

Name You cannot sign on until this is filled in

I wish to use the event insurance

I am using my own insurance

State name of insurer, only if using your OWN insurance.

Service Vehicle

Type of Vehicle
(please indicate make and model in the fields below)

Car

4x4

Pick-up

SWB Van

LWB Van

Other

Make (if known)

Model (if known)

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

MRF Tyres BTRDA Rally Series

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Motorsport UK English Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

SG Petch ANECCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Motoscope HRCR Northern Historic Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

MG3 Rally Challenge

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

Address

Post Code

Telephone Number This must be filled in to continue

Relationship

Will this person be attending the event?

Person to be contacted in case of serious accident to Co-Driver

Name This must be filled in to continue

Address

Post Code

Telephone Number This must be filled in to continue

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Type

Surface

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 120 entries, where do you think you should be seeded?

Scrutineering

Which scrutineering session will you be attending?

Friday 15:30 - 19:30

Saturday 07:30 - 09:30

Fees

Entry Fee

£

Insurance

£

Marshals' Fund

£

Total Money to be sent

£

Payment Method and Details

Internet banking

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Competition Licence Number

Competition Licence Issuer

Service Area

Do you wish to service next to any other competitor(s) or do you have any particular service area needs?
Please note we will do our best to accommodate your service requests but it may not be possible for us to allocate you a service bay next to the requested competitor(s). All requests nust be made before entries closing date

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

No

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to the filming companies that have been selected by the different championships, 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

No

The event is not currently open for entries

Bank	Starling Bank
Sort Code	60-83-71
Account No.	48098693
Account Name	Cumberland Sporting Car Club Limited
Reference	Driver's second name.

Kielder Forest Rally 2023 - Internet Entry Form

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