Spring Stages Rally - Internet Entry Form

This Event is held Under the General Regulations of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA) the Standing Competition Rules and Supplementary Regulations of the Club.

Welcome to Jersey Motorcycle and Light Car Club Online Entry system. Please follow the steps below to enter the event.

Once you have hit the "Enter Event" button at the end you will receive an automated response confirming we have received your entry form.

1) If you would like to pay via credit or debit card, you will get a link after submitting your entry.

2) You can send a cheque, made payable to "Jersey Motorcycle and Light Car Club" to the Entries Secretary at the address above. Please write the drivers name on the back of the cheque.

The event will be open to competitors (whether Entrant, Driver or Co-driver) holding a valid Motorsport UK Interclub or higher competition licence, who are fully elected members of one of the following clubs: JMC & LCC, GK & MC, GMC & CC.

Within 3 days of us receiving the payment for your entry you should receive an e-mail confirming reciept of your entry from the Entries Secretary

NOTE: WITHOUT PAYMENT YOUR ENTRY WILL NOT BE VALID. If you don't receive a response within 5 days of the expected payment date, or if you have any other questions, please e-mail the entries secretary at the address above.

Contact Information

E-Mail address for communication This must be filled in to continue

Contact Name This must be filled in to continue

Electronic Entry (Office Use Only!)

Yes

Driver

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

Home Town

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

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

Date of Birth This must be filled in to continue

Have you competed in a stage rally before?

Yes

Driver's Parent or Guardian (under 18 only)
NOTE: Parent or Guardian MUST sign on.

Full Name

Mobile Number

Telephone Number

Relationship

Competition Licence Number

Competition Licence Issuer

Co-Driver

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

Mobile Number This must be filled in to continue

Competition Licence Number This must be filled in to continue

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

Date of Birth This must be filled in to continue

Have you competed in a stage rally before?

Yes

Co-Driver's Parent or Guardian (under 18 only)
NOTE: Parent or Guardian MUST sign on.

Name

Mobile Number

Telephone Number

Relationship

Competition Licence Issuer

Competing 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 (cc) This must be filled in to continue

Class

1 - Homologated (and formerly homologated) FIA Rally 2 and R5 cars and any derivatives. FIA S2000 specification cars and any derivatives All World Rally cars (must comply with their homologation). All 4-wheel drive cars not eligible for Classes 1 & 4. Homologated FIA Rally 3 cars and Group N4 that still

3 - 2-wheel drive cars with normally aspirated engines over 2000cc or forced induction engines over 1500cc. Homologated (and formerly homologated) FIA RGT cars.

5 - Homologated FIA Rally 4 and R2 cars with forced induction that still comply with their homologation. Cars with normally aspirated engines over 1600cc up to and including 2000cc or forced induction engines up to and including 1500cc. Homologated FIA Rally 5 and Rally 5-Kit cars

8 - Cars with normally aspirated engines over 1400cc up to and including 1600cc including R2, or forced induction engines up to and including 1000cc.

9 - Cars with normally aspirated engines up to and including 1400cc

In Car Camera Request

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

Person to be contacted in case of serious accident to Driver

Name This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

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

Name This must be filled in to continue

Telephone Number This must be filled in to continue

Relationship This must be filled in to continue

Seeding - Competitor Opinion

Out of 12 entries, where do you think you should be seeded?

Fees - see above for how to pay

Entry Fee

Total Money to be sent

Payment Method and Details

Paypal

Privacy and Permissions

By entering the rally you are accepting these terms:

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry / Results 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

Remember your entry is subject to receipt of the correct entry fee.

Entry Declaration:

I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association 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 competition 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.

By entering this rally competitors will be abiding by the JMC & LCC’s Child Protection & Safeguarding policies which can be found on the club website

“I declare that the use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of this event as shall take place on road as defined by the law”.

I understand that should I at the time of this event be suffering from any disability whether permanent of temporary which is likely to affect prejudicially my normal control of my vehicle. I may not take part unless I have declared such disability to the ASN which has, following such declaration, issued a licence which permits me to do so.

I declare the statements given in the entry form are correct as verified by me.