NHMC Cadwell Stages 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

Name This must be filled in to continue

Address

Post Code

Home Town (for publicity purposes and the on-line results) This must be filled in to continue

Telephone Number

Mobile Number

Motorsport UK 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)

Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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

Name This must be filled in to continue

Address

Post Code

Home Town (for publicity purposes and the on-line results) This must be filled in to continue

Telephone Number

Mobile Number

Motorsport UK 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)

Co-Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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

Engine Capacity (in cc)

Year

Forced Induction or Rotary engine

No

Yes

Four Wheel Drive

No

Yes

Class You cannot sign on until this is filled in

A - FIA Rally2, R5 and S2000 specification cars and any derivatives therefrom, plus World Rally cars with a sequential gearbox

B - 4-wheel drive cars over 2000cc or forced induction engines over 1500cc that are not eligible for Class A, including FIA Rally3 cars

C - 2-wheel drive cars with normally aspirated engines over 2000cc or forced induction engines over 1500cc plus all FIA RGT cars

D - Cars with normally aspirated engines over 1600cc up to 2000cc or forced induction engines up to 1500cc plus all FIA Rally4 or R2 cars with forced induction

E - Cars with normally aspirated engines over 1400cc up to 1600cc or forced induction engines up to 1000cc not included in Class D, plus all FIA Rally5 cars

F - Cars with normally aspirated engines up to 1400cc plus all cars complying with Motorsport UK classes 9, 10, 11, 12 & 13

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.

Eligibility for Championships and Awards

The 2023/2024 MGJ Engineering Circuit Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The 2023 Clubman Motorsport EMAMC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The Alpha Concrete ANEMMC Stage Rally Championship 2023

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The ANWCC Stage Rally Championship 2023

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The Proflex Shock Absorbers 2023 ANCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The MINI Rally Challenge 2023

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

North Humberside Motor Club Crew award (see SR 12 for eligibility)

Crew Members Registered

No

Yes

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

Event Name and Club

Year

Event Status

Surface

Overall Position

Position in Class

Seeding - Competitor Opinion

Out of 75 entries, where do you think you should be seeded?

Scrutineering

When would you prefer to scrutineer? (If neither box is ticked, Saturday will be assumed.)

Saturday 18th November - 14:00 to 18:00

Sunday 19th November - 07:00 to 07:45

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Donation to the Marshals Fund

£

Total Money to be sent

£

Entrant (if applicable and not driver)

Do not enter anything here if you do not have an entrant (with a Motorsport UK Entrant's licence).

Name

Address

Post Code

Telephone Number

Nationality

Motorsport UK Competition Licence Number

Marshal Details - if you know of a marshal who'd like to come and help, please give details here

Name

Address

Post Code

Telephone Number

Mobile Number

Email Address

Experience

Comments

Anything else you'd like to tell us

Privacy and Permissions

We take your privacy seriously and shall 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 should 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 should also like to be allowed to pass on your Name, Address, Post Code and email addresses to Mad Video (the event's official video team) and Kevin Money (the event's official 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.

Yes

No

The event is not currently open for entries

NHMC Cadwell Stages Rally 2023 - Internet Entry Form

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