Entry Form

Entry Form
Update Entry
Entry List

Signing-on will be available here
from 1st September 2025 9:00
to 23rd October 2025 20:00
Competitor Signing-On

Marshal/Official Signing-on will be available here
from 1st September 2025 9:00
to 24th October 2025 12:00
Official/Marshal Signing-On

Autumn Leaves 12 Car ~ 24th October 2025

Entry Form

Please enter the event using this form, and then pay following the instructions on the next page.

You will appear in the entry list as an accepted entry once the Entries Secretary has received your payment and verified your entry is complete.

Held under the National Competition Rules of Motorsport UK (incorporating the provisions of the International Sporting Code of the FIA), the Supplementary Regulations and any written instructions (including bulletins) that the organising club may issue for the event.

Any indemnity and/or declaration as prescribed and which is signed by a person who has not reached their 18th birthday shall be countersigned by that person’s parent or guardian whose full names and address shall be given.

Entries will not be considered for acceptance until full payment has been received and the entry form is complete.

We do not recognise TBA, TBC, 0 or other such variants; this will not be classed as a completed entry.

Password To allow you to update your entry details, and to access the online signing-on form later. Keep a note of this.
Driver
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Competition Licence Number
Age
Driver's Parent or Guardian (under 18 only)
Name
Relationship
Address
Mobile
At Event? No Yes
Persons to contact in case of serious accident to Driver
Name
Relationship
Address Including Postcode
Mobile
At Event? No Yes
Navigator
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Competition Licence Number
Age
Navigator's Parent or Guardian (under 18 only)
Name
Relationship
Address
Mobile
At Event? No Yes
Persons to contact in case of serious accident to Navigator
Name
Relationship
Address Including Postcode
Mobile
At Event? No Yes
Vehicle
Make
Model
Registration
CC
Colour
Year
Forced Induction? No Yes
Class TBA E N B R E - Expert Has won three or more First Overall awards on any 12 car, 20/20 or road rally events as a navigator. Or has been First Novice five or more times on any 12 car, 20/20 or road rally events as a navigator since 1st September 2016. N - Novice All others. B - Beginner Has not competed in more than five navigational rallies or road rallies as a navigator, other than in a 12 Car RallyRun class. R - RallyRun Optional class for beginners to use marked maps for as long as they like.
Carbon Footprint
Distance to travel to the event Miles one way. If multiple vehicles are travelling for your entry, add up the total.

Insurance
Insurance Own Insurance Kingfisher - £65
Insurance Declaration I am aged 19 or over I have held a full UK / EU Driving Licence for a minimum of 6 months I have no more than 6 points on my licence and no bans of any kind I have had no more than 1 fault claim in the last 3 years I do not have the Third-Party Extension cover on my existing motor policy My vehicle has a valid MOT & is taxed for the road, unless exempt from doing so I am named on a valid motor insurance policy for the vehicle I am driving Anyone aged less than 19 years old will also be accepted at the same price should their co-driver be a more senior member of their family or over 25. Any competitor who falls outside these parameters may be offered cover at equivalent terms or an agreed price, if approval from the Appointed Insurance Broker has been obtained by the event organisers, prior to the event.
If using the event Kingfisher insurance, do you comply with the Declaration? No Yes Own Insurance If you choose No, you will be sent a Declaration Form to complete.
Insurance company name, address and telephone number
Policy No.
Fees
Entry Entry - £10 (up to 23rd October 2025 20:00)
Payment Method Bank Payment Payment details will be displayed after the entry is submitted

Anglia Motor Sport Club / Chelmsford MC complies with current data protection legislation. I agree that the information submitted through this form, including names, addresses and contact details, may be published or released to other parties purely for purposes connected with the event.
If a required field is not filled in, the form will scroll to that field so you can complete it before trying to submit the entry again.

Entry System via MTC1.uk