Legend Fires North West Stages 2024

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

How would you like to receive Finals and Results?

E-mail/Website

Posted Paper

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

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

Competition Licence Issuer

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 You cannot sign on until this is filled in

Nationality

Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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 This must be filled in to continue

Post Code This must be filled in to continue

Telephone Number

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

Competition Licence Issuer

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 You cannot sign on until this is filled in

Nationality

Co-Driver Publicity

Hobbies

Married?

No of Children

How Long Rallying?

Notable Results

Any other information

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 This must be filled in to continue

Registration Number This must be filled in to continue

Engine Capacity This must be filled in to continue

Forced Induction

No

Yes

Class This must be filled in to continue

A - up to 1400cc, 2-Wheel Drive

B - 1401 - 1600cc, 2-Wheel Drive

C - 1601 - 2000cc, 2-Wheel Drive

D - Over 2000cc, 2-Wheel Drive

E - All 4-Wheel Drive cars (other than those in Class W below)

H - Historic vehicles complying with R49

W - Homologated or Non-Homologated current/forrmer WRC cars current/ former S2000 cars and all FIA R5 cars, or derivatives of these cars.

In Car Camera Request

Yes

No

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

Insurers

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

Recce Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Service Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

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

Probite British Rally Championship (CH2024/RALLY001)

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Protyre Motorsport UK National Ashphalt Rally Championship (CH2024/RALLY057)

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

AS Performence North of England Tarmacadam Rally Championship CH2004/RALLY040)

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANWCC Stage Rally (CH2024/RALLY040) All Rounders (039/2024) Ladies Rally Championship(043/2024)

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

The SD34 MSG Stage Rally Championship Incorporated with ANWCC (CH2024/040

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Proflex Shock Absorbers Stage Rally Championship (CH2024/RALLY)

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

Mobile Number This must be filled in to continue

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

Yes

No

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

Name This must be filled in to continue

Address

Post Code

Mobile Number This must be filled in to continue

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

Yes

No

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Event Name and Club

You must have finished at least 3 Interclub or higher stage rallies to enter this event.

Year

Type

Surface

Overall Position

Class Position

Seeding - Competitor Opinion

Out of 130 entries, where do you think you should be seeded?

Reconnaissance

When would you prefer to recce?

Saturday 16th March 2024 (Group 1) (see paragraph 20.2) 08.30-17.00hrs (signing on 08.00-11.00 hrs)

Friday 22nd March 2024 (Group 2) 08.30-17.00hrs (signing on 08.00 -11.00hrs)

Participating in Recce? You cannot sign on until this is filled in

Yes

No

Fees - see above for how to pay

Entry Fee

£

Club Membership

£

Insurance

£

Marshal Fund

£

Charity Donation

£

Large Service Pitch 10 x 7 metres includes 1 additional vehicle/Caravan not for sleeping in £100

£

Super Service Pitch 100 Square metres (for HGV type vehicles/awning/motorhome £200

£

Total Money to be sent

£

Payment Method and Details This must be filled in to continue

BACS

Cheque (I will post a cheque/cheques to Entries Secretary)

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Nationality

Competition Licence Number

Competition Licence Issuer

Club Membership No

Comments

Anything else you'd like to tell us?
For example:-
You would like to service next to another competitor?
You need space for a large vehicle?
Request to opt out of the Friday night Garstang Ceremonial Start?
(We are not confirming these will be accepted, but you can request!)

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 Results Lists, 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 Videographer and 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

Legend Fires North West Stages 2024 - Internet Entry Form

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

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.

Legend Fires North West Stages 2024 - Internet Entry Form

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

Seeding - Past Performance on Stage Rallies by Driver Only We can only seed you on the information you supply - please give as much detail as possible.

Seeding - Past Performance on Stage Rallies by Driver Only
We can only seed you on the information you supply - please give as much detail as possible.