Northern Dales Targa 2024 - Interclub - Internet Entry Form

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

Hexham Motor Club - Northern Dales Targa - Interclub - Sunday the 7th of July 2024

Entries Close for seeding on the 1st of July 2024

email: jonathon.webb@hexhammotorclub.com

Held under the General Regulations of Motorsport UK (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to Northern Dales Targa Online Entry system. Please follow the steps below to enter the rally.

Complete all the fields in the form below. The fields with red backgrounds are mandatory.
Once you have hit the "Enter the Rally" button at the end you will receive an automated response confirming we have received your entry form.

Payment is only accepted via Bank Transfer. Please do not send Cash or Cheque. Our Bank details are listed below:

Bank	Virigin Money
Sort Code	82-11-07
Account No.	10577428
Account Name	Hexham and District Motor Club
Reference	Driver's full name.

Within 24 hours of us receiving the payment for your entry you should receive an e-mail confirming your entry from the Entries Secretary. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID.
If you don't receive a response within 3 days of the expected payment date, or if you have any other questions, please e-mail jonathon.webb@hexhammotorclub.com

All the fields with a red background must be filled in, or you will not be able to continue. Please put TBA in any red field which you do not know the details for.

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

Telephone Number You cannot sign on until this is filled in

Mobile Number

Competition Licence Number

E-Mail Address You cannot sign on until this is filled in

Club You cannot sign on until this is filled in

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

Navigator

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

Telephone Number You cannot sign on until this is filled in

Mobile Number

Competition Licence Number

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

Co-Driver's Parent or Guardian (under 18 only)

Name

Address (if different)

Post Code

Telephone Number

Relationship

Competition Licence Issuer

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

Class This must be filled in to continue

INT - Interclub

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.

Person to be contacted in case of serious accident to Driver

Name You cannot sign on until this is filled in

Address You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Relationship You cannot sign on until this is filled in

Will this person be attending the event? You cannot sign on until this is filled in

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

Name You cannot sign on until this is filled in

Address You cannot sign on until this is filled in

Post Code You cannot sign on until this is filled in

Telephone Number You cannot sign on until this is filled in

Relationship You cannot sign on until this is filled in

Will this person be attending the event? You cannot sign on until this is filled in

Seeding - Past Performance on Targas

Event Name and Club

Year

Type

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 50 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

Club Membership

Total Money to be sent

Payment Method and Details This must be filled in to continue

Bank Transfer

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Competition Licence Number

Club Membership 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

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to the photographer on the night 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

The event is not currently open for entries