Entry Form

Entry Form
Update Entry
Entry List

Marshal/Official Signing-on will be available here
from 20th December 2024 9:00
to 19th January 2025 12:00
Official/Marshal Signing-On
Media Signing-On

BMCK January Regularity Run ~ 19th January 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 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

Insurance
Insurance Own Insurance REIS - £24
Insurance Declaration I am aged 19 or over I have held a full UK Driving Licence for a minimum of 6 months I have no more than 6 points on my licence I have had no more than 1 fault claim in the last 3 years I am named on a valid motor insurance policy for the vehicle I am driving I do not have the Third-Party Extension cover on my existing motor policy My vehicle has a valid MOT Certificate & is taxed for the road, unless exempt from doing so
If using the event REIS 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 If not using the event REIS insurance.
Fees
Entry Entry - £20.00 (up to 19th January 2025 20:00)
Payment Method Bank Payment Payment details will be displayed after the entry is submitted

Blackpalfrey Motor Club of Kent 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