Corinium Run Officials 2025 - Internet Entry Form

Before entering the Corinium Run please read the following carefully.

If your classic car is your absolute pride and joy, runs lower than most normal road cars, cannot cope with the odd pot hole or you simply like to stretch its legs and drive flamboyantly this may not be the event for you.

The best way to secure an entry is to pay by Stripe (Debit/Credit Card) or Bacs as while we wait for your cheque to arrive another fully paid entry may take the last remaining place

 ONLINE ENTRY FOR THE CORINIUM RUN 

Sunday 13th April 2025

Entries Secretary:

Martin Saunders

6 Notgrove Close

Cheltenham

Glos

 GL51 6BB

 Telephone 07798 584713

 e-mail: corinium.entries@gmail.com

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

Welcome to the Corinium Run Online Entry system. Please follow the steps below to enter the Run.

 Complete all the fields in the form below. The fields with red backgrounds are mandatory.

  1. Once you have hit the "Enter the Corinium Run" button at the end you will receive an automated response confirming we have received your entry form.
  2. The easiest way to pay is by "Stripe" debit or credit card.
  3. If you have internet or telephone banking, you can arrange for the fees to be paid directly into our account. The details are:-

Sort Code

30-92-06

Account No.

01180094

Account Name

Cirencester Car Club Sprint

Reference

Please use Driver's full name.
  1. Alternately pay by cheque payable to Cirencester Car Club and post to the Entries Secretary at the address above.
  2. When payment has been received you will receive an e-mail confirming your entry. NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID If you don't receive a response within 7 days of the expected payment date, or if you have any other questions, please e-mail corinium.entries@gmail.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. 

Primary Contact Details
Driver
Passenger 1
Car
Person to be contacted in case of serious accident to Driver
Person to be contacted in case of serious accident to Passenger 1
Fees - see above for how to pay
£
£
£
2nd Passenger Details
3rd Passenger Details
Comments
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.

We would also like to be allowed to pass on your Name, Address, Post Code and email addresses to our event photographer,so that they can contact you with a view to offering you photos of you on the event. If you are happy to allow us to do this, please say so here.

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. 

By clicking on the "Enter the Corinium Run" button below you agree to the following: "I declare that I have been given the opportunity to read the NCR Regulations of the Motorsport UK and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the event and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused through their negligence.."

I also confirm that my vehicle has a current road fund licence, valid insurance, a valid MOT and is road worthy.