Nigel Ferguson Fabricators Tour of Epynt 2024 - Interclub

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

Competition Licence Issuer

E-Mail Address

Club You cannot sign on until this is filled in

Date of Birth of driver if under 18 years old You cannot sign on until this is filled in

Is this the Driver's 1st time on Epynt as a Driver? This must be filled in to continue

YES

NO

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

Home Town

Telephone Number

Mobile Number

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

Competition Licence Issuer

E-Mail Address

Club You cannot sign on until this is filled in

Date of Birth if under 18

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 You cannot sign on until this is filled in

Registration Number

Engine Capacity

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

Class You cannot sign on until this is filled in

1 - Cars up to and including 1400cc

2 - Cars 1401cc up to and including 1600cc

3 - Cars 1601cc up to and including 2000cc

4 - over 2000cc 2- wheel drive

5 - 4 wheel drive cars (other than those in class 7)

6 - H1 Historic vehicles complying with R49

7 - Current or former WRC or one derived from one + current and former S2000 cars and all FIA R5/Rally 2 cars.

8 - Road Rally Cars

In Car Camera Request

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

Own Insurers (If NOT using Reis event insurance)

Name

Address

If you wish to use the road section insurance, can you comply with the Insurance Declaration quoted in the regulations? You cannot sign on until this is filled in

Yes - I wish to use the insurance and I comply with all points

No - I wish to use the insurance but do not comply (please contact me)

N/A - I have my own insurance

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

Protyre Motorsport National Rally Championship