The Pentraeth Subaru Glyn Memorial Stages 2024

Document Addressing

E-Mail address for communication (please take care to enter a correct email address) 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

Date of Birth if under 18 years old

Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

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

Date of Birth if under 18 years old

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

Registration Number

C.C.

4WD

No

Yes

Class This must be filled in to continue

A - 2WD cars up to and including 1400cc.

B - 2WD cars 1401cc up to and including 1600cc.

C - 2WD cars 1601cc up to and including 2000cc.

D - 2WD cars 2001cc and over.

E - All 4WD cars.

R - Road Rally Class (as per 2024 Blue Book).

H - HRCR Mini Sport Cup.

J - Junior Rally.

Event - YOU MUST SELECT AN OPTION

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

The Pentraeth Subaru Glyn Memorial Stages

The Pentraeth Subaru Glyn Memorial Junior Stages

Championships

JD Tyres Welsh National Tarmacadam Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC North Wales Stage Rally Challenge

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Ladies Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Allrounders Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Junior 1000 Ecosse Rally Challenge

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Junior 1000 Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

HRCR Mini Cup Stage Rally Challenge

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

TCS Plant 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 You cannot sign on until this is filled in

Address

Post Code

Telephone Number You cannot sign on until this is filled in

Relationship

Will this person be attending the event?

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

Name You cannot sign on until this is filled in

Address

Post Code

Telephone Number You cannot sign on until this is filled in

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name & Club

Year

Status

O/A Position

Class Position

Fees - see top of page for details of how you can pay

Entry Fee - select your event.

£

Marshals' Draw - please select your option; £20, £10 or £0. Thank you. This must be filled in to continue

£

Total Money to be sent

£

Payment Method This must be filled in to continue

Bank Transfer

Garage

Would you like to be entered into the draw for a garage (see SR36) This must be filled in to continue

Yes

No

Comments.

Anything else you'd like to tell us:

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 permission to pass on your email addresses to any officially approved video or photographic organisation attending at the venue so that they can contact you with a view to offering you videos and/or 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

The Pentraeth Subaru Glyn Memorial Stages 2024 - Internet Entry Form

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