KVR Motorsport Kingdom Stages Rally

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 You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Home Town You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Competition Licence Issuer

Motorsport UK

Motorsport Ireland

Other ASN

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

E-Mail Address This must be filled in to continue

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

Medical condition or disability or on anti-coagulant therapy (solely for use of Chief Medical Officer in the event of an accident - please provide details in "Comments") This must be filled in to continue

Yes

No

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

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 You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Home Town You cannot sign on until this is filled in

Contact Number This must be filled in to continue

Competition Licence Issuer

Motorsport UK

Motorsport Ireland

Other ASN

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

E-Mail Address This must be filled in to continue

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

Medical condition or disability or on anti-coagulant therapy (solely for use of Chief Medical Officer in the event of an accident - please provide details in "Comments") This must be filled in to continue

Yes

No

Helmet Make You cannot sign on until this is filled in

Helmet Model You cannot sign on until this is filled in

Helmet Approval Standard (per K10.3.1) You cannot sign on until this is filled in

FHR Make You cannot sign on until this is filled in

FHR Model You cannot sign on until this is filled in

FHR Approval Standard (per K10.3.1) You cannot sign on until this is filled in

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 This must be filled in to continue

Engine Capacity (cc) This must be filled in to continue

Year

Forced Induction

No

Yes (Motorsport UK 1.7x equivalence applies)

Four Wheel Drive

No

Yes

Class This must be filled in to continue

1 - Class 1 – Cars up to and including 1400cc

2 - Class 2 – Cars over 1401cc up to and including 1700cc

3 - Class 3 – Cars over 1701cc up to and including 2050cc

4 - Class 4 – All 2 wheel drive cars over 2050cc

5 - Class 5 – All 4 wheel drive cars not in class 6

6 - Class 6 – Homologated or Non-Homologated current / former WRC or one derived from one, plus current / former S2000 and all FIA R5 cars

In Car Camera Request

No

Yes I have an In Car Camera

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

Car Seats and Harnesses

Left Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Harness FIA Homologation Expiry Date You cannot sign on until this is filled in

Left Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Right Seat FIA Homologation Expiry Date You cannot sign on until this is filled in

Car Fire Extinguishers

Hand-held fire extinguisher make You cannot sign on until this is filled in

Hand-held fire extinguisher capacity You cannot sign on until this is filled in

Hand-held fire extinguisher last service date You cannot sign on until this is filled in

Plumbed-in fire extinguisher make You cannot sign on until this is filled in

Plumbed-in fire extinguisher capacity You cannot sign on until this is filled in

Plumbed-in fire extinguisher last service date You cannot sign on until this is filled in

Championships

Scottish Single Venue Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Scottish Tarmack Rally Championship

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 This must be filled in to continue

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 This must be filled in to continue

Will this person be attending the event?

Seeding - Past Performance on Rallies since 1 Jan 2016

Event Name and Club

Year

Surface

Overall Finishing Position

No of Starters

Seeding - Competitor Opinion

Out of 100 entries, where do you think you should be seeded? This must be filled in to continue

Fees - see above for how to pay

Entry Fee

£

Club Membership if required

£

Marshal Fund

£

Additional Marshal / Volunteers Donation if you so wish.

£

Total Money to be sent

£

Payment Method and Details

Online - Stripe

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 to be allowed to pass on your Name, Address, Post Code and email addresses to authorised official photographers 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

KVR Motorsport Kingdom Stages Rally - Internet Entry Form

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