Entry Form

Held under the General Regulations of Motorsport UK (incorporating the provision of the International Sporting Code of the FIA) and the Supplementary Regulations.

PLEASE NOTE THE BELOW POINTS BEFORE ENTERING

1) NON COMPLETE ENTRY FORMS, OR TBC etc WILL BE ADDED TO THE BOTTOM OF THE LIST. SO PLEASE TAKE YOUR TIME TO COMPLETE.

2) ALL PAYMENTS MUST BE RECIVED FOR ENTRY TO BE VALID.

DRIVER

Please ensure you have entered full address

Person to be informed in an emergency

 

NAVIGATOR

Please ensure you have entered full address

Person to be informed in an emergency

*Acceptance of entry will be notified by email only.

CAR


CLASS ENTERED


SEEDING INFO

Last 3 results for rallies contested

Event Date Event Status Overall Position Class Position

MARSHAL'S DETAILS:

(Must be completed or entry will not be accepted).

PREVIOUS EXPERIENCE:

 


ENTRY FEE

£150

Note: Entries are only acknowledged once we receive full payment. Therefore paypal on-line will ensure we acknowledge your application quicker.

 

MEMBERSHIP

If you don't already have a club membership, you can join TVMC with the link below.

PLEASE VISIT https://www.teifivalleymotorclub.co.uk/membership/


MOTORSPORT UK LICENCE

You will need a Motorsport UK Licence to compete, please go to the Motorsport UK website if you dont already have one. www.motorsportuk.org/competitors


 

DECLARATION OF INDEMNITY

I declare that:

1) I have been given the opportunity to read the National Competition Rules (NCR) and all Official Documentation and will abide 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.
I understand that motor sport 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.

2) To the best of my belief the driver(s) possess(es) the standard of competence necessary for the Event to which this entry relates and that the vehicle entered conforms to the Regulations of the Event. Where applicable the use of the vehicle hereby entered will be covered by insurance as required by law.

3) I agree that should I at the time of this Event be suffering from any disability whether permanent or temporary which is likely to affect prejudicially my normal control of the vehicle, I may not take part unless I have declared such disability to Motorsport UK which has, following such declaration, issued a licence which permits me to do so. I undertake that at the time of the Event to which this entry relates I shall have passed or am exempt from an ASN specified medical examination within the specified period. (Ch.6 App.2 Art.6.5)

4) If I am the Parent/Guardian/Guarantor of the driver I have countersigned the competitor licence application and understand that I shall have the right to be present during any procedure being carried out under the Event Supplementary Regulations and the NCR and that I have acquainted myself and the minor with them, agree to pay any appropriate charges and fees pursuant to those Regulations and agree to be bound by and submit myself without reserve to the consequences resulting from them (and any alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Ch.2 App.2.
Note: Where the Parent/Guardian/Guarantor will not be present the Parent/Guardian/Guarantor must advise the organisers in advance, in writing, authorising their appointed representative to so act.

5) I hereby agree to abide by all applicable Motorsport UK Policies and Guidelines including but not exclusively Safeguarding and Anti Alcohol and Drugs policies and the ASN Code of Conduct.

6) I have read and fully understood the regulations for Control of Drugs and Alcohol as contained in the NCR Chapter 2 Art.2, Chapter 5 App.11 Art.1.6, Chapter 3 Art.17 and have also fully familiarised myself with the information on the web sites referred to (www.motorsportuk.org, www.ukad.org.uk and www.wada-ama.org) in particular the UK Anti-Doping Rules which have been adopted by the ASN. ‘Further if I am counter-signing as the Parent or Guardian of a minor then in addition to the deemed consent to the testing of that minor (UK Anti-Doping Rules in Chapter 6) I hereby confirm that I give such consent for the minor concerned to be so tested.

7) I understand and agree that my personal data, and that of the persons connected to my entry are being processed solely for the purposes of running this and will be handled by the organisers in accordance with Motorsport UK data protection policy: www.motorsportuk.org/data-protection.

Event Participation Declaration: In consideration of the acceptance of this Entry I agree that neither any one of or any combination of Motorsport UK and / or 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 such as damage to property, economic loss, consequential loss, reputational loss or financial loss howsoever caused (the “Losses”). 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 hold harmless each of the Parties in respect of any Losses whatsoever and howsoever arising from my participation in this Event. Further I agree to accept responsibility for and where necessary compensate the Parties in respect of any Losses arising or howsoever caused by my negligence or actions where they are determined to be in breach of the Motorsport UK National Competition Rules as they apply to my participation in the Event

Entrants Signature: Age if under 18: Date:
Drivers Signature: Age if under 18: Date:
Co-Drivers Signature: Age if under 18: Date:

 

Important note if you are under 18 years of age:
If an Entrant/Driver/Co-Driver is under 18 years of age, this form must be countersigned by his/her parent/guardian/guarantor, whose name, address, relationship to the entrant must be given. Also under revised regulations, effective 1st January 2005 it will be necessary for the parent/guardian/guarantor or representative to be present at the meeting and a separate indemnification must be signed. If you are under 18 years of age, then please contact the organisers prior to submitting your entry.

Name: Relationship:
Address: Signature:
Date :  
Next of kin for Driver: Tel:
Next of kin for Co-Driver: Tel:

This entry form must be completed in every respect, including signing the indemnification

All payments including membership and insurance have to be paid before the event.

No entry will be valid until all details are complete and payments made.

Please read regulations as they differ from various events.