Coppermines Grizedale Stages Rally  
 


 

 

 

 

Internet Entry Form

 

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

Entries Close: 24th November 2005. Entries are limited to 135, on a "first come, first served basis" with 20 entries at the discretion of the organisers. There are NO reserved places for any championships.

Entries Secretary: Sarah Moore
Holme Lea
Bankfield
Beckermet
Cumbria
CA21 2YG
Telephone 01946 841332
e-mail: entry2005@grizedalestages.co.uk

Held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FISA) and the Supplementary Regulations

Welcome to Grizedale Stages Rally 2005 Online Entry system. Please follow the steps below to enter the rally;

  1. Complete all the fields in the form below. The fields with red backgrounds are mandatory. If the driver or navigator are under 18 years of age, paper entries need to be made
  2. 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.
  3. Arrange for your bank to pay the entry fee into our account, if you have telephone or Internet banking. If you don't have telephone or Internet banking, send a cheque to the Entries Secretary, above.
    BankNatWest
    Sort Code01-04-66
    Account No.80164420
    Account NameGrizedale Stages Rally
    ReferenceDriver's full name.
  4. 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.
  5. 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 entry2005@grizedalestages.co.uk

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
Real Name of this person
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
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address  
Club(s)
Date of Birth

Co-Driver

Full Name
Address
Post Code
Telephone Number
Mobile Phone Number
Competition Licence Number
E-Mail Address  
Club(s)
Date of Birth

Car

Make
Model
Colour
Registration Number
Engine Capacity
Forced Induction No
Yes
Class N1 - Group N cars with engines upto 1400cc
N2 - Group N cars with engines of 1401cc to 1600cc
N3 - Group N cars with engines of 1601cc to 2000cc
N4 - Group N cars with engines over 2000cc
B9 - All other cars with engines up to 1400cc
B10 - All other cars with engines 1401cc to 1600cc
B11 - All other cars with engines 1601cc to 2000cc
B12 - All other cars with engines over 2000cc
WRC - All World Rally Cars

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

Kent Cams ANCC Northern Stage Rally Championship 2005No
Driver Only
Co-Driver Only
Driver and Co-Driver
Walkers/Techno2 ANECCC Stage Rally Championship 2005No
Driver Only
Co-Driver Only
Driver and Co-Driver
KLMC ProPrep Stage Rally ChampionshipNo
Driver Only
Co-Driver Only
Driver and Co-Driver
Peugeot 205 1.6 Challenge Rally Championship 2005No
Driver Only
Co-Driver Only
Driver and Co-Driver

Person to be contacted in case of serious accident to Driver

Name
Address   
Post Code
Telephone Number
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
Will this person be attending the event?

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 ClubYearTypeOverall Position

Seeding - Competitor Opinion

Out of 135 entries, where do you think you should be seeded?

Scrutineering

Please indicate your preferred scrutineering times (preference given to early entries)Friday 2nd December
Saturday 3rd December

Fees - see above for how to pay

Entry Fee £
Furness & District Motor Club Membership£
Alexander Forbes Insurance£
Total Money to be sent £
Payment Method and details

Entrant (if applicable and not driver)

Full Name
Address
Post Code
Telephone Number
Entrants Licence Number

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 abayance 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 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 the 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.."

 

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