Jim Clark Rally 2025 - Internet Entry Form

Document Addressing and Event Selection

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

Real Name of this person This must be filled in to continue

To whom do you want Recce Plates and Instructions sent?

Driver

Co-Driver

Which Event are you Entering? This must be filled in to continue

National Permit (BRC)

Interclub Permit

Driver

Full Name This must be filled in to continue

Address

Post Code

Home Town

Telephone Number

Mobile Number You cannot sign on until this is filled in

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

Competition Licence Issuer

E-Mail Address

Club or Championship You cannot sign on until this is filled in

Club Membership No. or Championship Registration No. You cannot sign on until this is filled in

Date of Birth

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

Post Code

Home Town

Telephone Number

Mobile Number You cannot sign on until this is filled in

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

Competition Licence Issuer

E-Mail Address

Club or Championship You cannot sign on until this is filled in

Club Membership No, or Championship Registration No. You cannot sign on until this is filled in

Date of Birth

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

Registration Number You cannot sign on until this is filled in

Engine Capacity

Year

Forced Induction

No

Yes

Four Wheel Drive

No

Yes

Class This must be filled in to continue

A - Homologated (and formerly homologated) FIA Rally 2 and R5 cars*. FIA S2000 specification cars and any derivatives. All World Rally cars (must comply with their homologation) *RHD conversions of Rally 2 and R5 cars which retain all other aspects of the homologation will be eligible for this class.

B - All 4 wheel Drive Cars over 2000cc (other than those in Class A) and FIA Rally 3 and Group N4 cars.

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

D - Homologated FIA Rally4, R3 and R2 cars with forced induction that still comply with their homologation; and 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

E - Cars with normally aspirated engines over 1400cc up to and including1600cc, including R2, or forced induction engines up to and including 1000cc.

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

G - AFRT Land Rovers

H - All Historic Rally Cars (as defined by NCR 13.17)

In Car Camera Request

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

Road Section Insurance

N.B. If you wish to use the road section insurance, can you comply with the Insurance Declaration quoted in the regulations?

Insurance Option You cannot sign on until this is filled in

I am using my own insurance

I wish to use REIS Insurance and I comply with all points of the Insurance Declaration

I wish to use REIS Insurance but do not comply with all points of the Insurance Declaration

State Name of Insurers only if using your OWN Insurance

Service Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Recce Vehicle

Make

Model

Colour

Registration Number

Contact Name

Contact Number

Championships

Probite British Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Protyre Motorsport UK Asphalt Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

AS Performance North of England Tarmacadam Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

ANECCC S G Petch Stage Rally Championship

Crew Members Registered

None

Driver

Co-Driver

Both

Driver Championship Registration Number

Co-Driver Championship Registration Number

Armed Forces Rally Team 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

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

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

Name

Address

Post Code

Telephone Number

Relationship

Will this person be attending the event?

Seeding - Past Performance on Rallies

Event Name and Club

Year

Type

Surface

Overall Position

No of Starters

Seeding - Competitor Opinion

Out of 100 entries, where do you think you should be seeded?

Scrutineering

When would you prefer to scrutineer?

Participating in Recce?

No

Yes

Participating in Shakedown?

No

Yes

Fees - see above for how to pay

Entry Fee

£

Insurance

£

Entry Fee for Shakedown Stage

£

Contribution to Marshals fund

£

Optional Carbon Offset charge

£

Total Money to be sent

£

Entrant (if applicable and not driver)

Name

Address

Post Code

Telephone Number

Nationality

Competition Licence Number

Competition Licence Issuer

Club Membership No

Comments

Do you have any specific service area requests? Anyone you need to service beside? If none please type 'nil' You cannot sign on until this is filled in

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

Remember your entry is subject to receipt of the correct entry fee. An automated acknowledgement is NOT confirmation of entry. Rejected entries and entries held in abeyance will be informed by e-mail to the address(es) given above.

By clicking on the "Enter the Rally" button below you agree to the following: ‘I declare that I have been given the opportunity to read the NCR and if any the Official Documents 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 ompetent to do so. I acknowledge that I understand the nature and type of the Competition and the potential risk inherent with motor sport and agree to accept that risk. ‘I understand that motorsport can be dangerous and accidents causing death injury disability and property damage can and do happen. I understand that these risks may give rise to my suffering personal injury or other loss and I acknowledge and accept these risks. In consideration of the acceptance of this Entry I agree that neither any one of or any combination of the ASN and its associated Clubs, the Organisers, the Track owners or other occupiers, the promoters and their respective, officers, servants, representatives and agents (the “Parties”) shall have any liability for loss or damage which may be sustained or incurred by me as a result of participation in the Event including but not limited to damage to property, economic
loss, consequential loss or financial loss howsoever caused. Nothing in this clause is intended to or shall be deemed to exclude or limit liability for death or personal injury. To the fullest extent permitted by law I agree to indemnify and hold harmless each of the Parties in respect of any loss or damage whatsoever and howsoever arising from my participation in this Event. 'I declare that to the best of my belief the Driver(s) possess(es) the standard of competence necessary for an Event of the type to which this Entry relates and that the vehicle entered is suitable and roadworthy for the Event having regard to the course and the speeds which will be reached'