Classic Lanes Road Rally 2024 - 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

Driver

Full Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Mobile Number This must be filled in to continue

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

E-Mail Address This must be filled in to continue

Club -The event is closed to club therefore you will need to be a member of WBCC. NB. You will be able to Join on the night You cannot sign on until this is filled in

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

Date of Birth You cannot sign on until this is filled in

Driver's Parent or Guardian (under 18 only)

Name

Telephone Number

Relationship

Navigator

Full Name This must be filled in to continue

Address This must be filled in to continue

Post Code This must be filled in to continue

Mobile Number This must be filled in to continue

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

E-Mail Address This must be filled in to continue

Club - The event is closed to club therefore you will need to be a member of WBCC. NB. You will be able to Join on the night You cannot sign on until this is filled in

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

Date of Birth You cannot sign on until this is filled in

Navigator's Parent or Guardian (under 18 only)

Name

Telephone Number

Relationship

Car

Make This must be filled in to continue

Model This must be filled in to continue

Colour You cannot sign on until this is filled in

Registration Number You cannot sign on until this is filled in

Engine Capacity You cannot sign on until this is filled in

Class This must be filled in to continue

E - Expert

SE - Semi Expert

N - Novice

B - Beginner

Insurers - All Competitors will need to have their own insurance that covers them for rally road sections. There is no blanket insurance available from the event.

Name You cannot sign on until this is filled in

Address

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

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 Navigator

Name This must be filled in to continue

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

Overall Position

No of Starters

Fees

Entry Fee

£

Total Money to be sent

£

Payment Method and Details- BACS only.

Barclays, sort code: 20-77-85, Acc no: 03353168, Ref: crew name

NB please use crew names in reference

Marshal Details

Name You cannot sign on until this is filled in

Address

Post Code

Mobile Number You cannot sign on until this is filled in

Experience

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 official event 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

Classic Lanes Road Rally 2024 - Internet Entry Form

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