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Corbeau Seats Rally Tendring & Clacton ~ 28th April 2019

Entry Form

Please enter the event(s) using this form, and then pay following the instructions on the next page.
You will appear in the entry list as a pending entry immediately, and as an accepted entry once the Entries Secretary has received your payment and verified your entry is complete.

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

Undertakings & Indemnities as required by Motorsport UK GR D13.1 to D13.1.5 are included on the Official Signing-On Forms for the event, also by submission of the Entry Form you agree to abide by Motorsport UK Regulations and any written instructions issued for the event.

Any competitor who is under 18 MUST declare so on this Entry Form and the relevant Parent/Guardian will then be required to conform to Motorsport UK D13.1.1(c).

Please complete all required information. Only complete entries will be accepted.


We will not accept entries from Novice Drivers. The driver must have finished four Special Stage Rallies to be eligible for an entry. Please ensure you have entered at least four finishes on the seeding part of the Entry Form. These results will be verified.


Contact - Details of person making this entry. All information will be sent to this email address.
To allow you to update your entry details later.

Driver
If not Motorsport UK
Jelf    Maxxis    Fuchs    
Jelf - Jelf Motorsport.com Stage Rally Championship
Maxxis - Maxxis Tyres 2019 Motorsport UK English Rally Championship
Fuchs - Fuch Lubricants RACRMC Historic Asphalt Rally Championship

Driver Seeding Information - as Driver

Event/Date       Type/Status      Club       Overall Position

Event/Date       Type/Status      Club       Overall Position

Event/Date       Type/Status      Club       Overall Position
TBA    Under 18    18+    

Driver's Parent or Guardian (under 18 only)
No   Yes

Driver - Persons to contact in case of serious accident to Driver

Co-driver
If not Motorsport UK
Jelf    Maxxis    Fuchs    
Jelf - Jelf Motorsport.com Stage Rally Championship
Maxxis - Maxxis Tyres 2019 Motorsport UK English Rally Championship
Fuchs - Fuch Lubricants RACRMC Historic Asphalt Rally Championship

Co-driver Seeding Information - as Co-driver

Event/Date       Type/Status      Club       Overall Position

Event/Date       Type/Status      Club       Overall Position

Event/Date       Type/Status      Club       Overall Position
TBA    Under 18    18+    

Co-driver's Parent or Guardian (under 18 only)
No   Yes

Persons to contact in case of serious accident to Co-driver

Car

No   Yes
No   Yes
TBA    A    B    C    D    E    H1    H2    H3    H4a    H4b    HK    
A - Up to and including 1400cc
B - Over 1400cc up to and including 1600cc
C - Over 1600cc up to and including 2000cc
D - Over 2000cc
E - All 4 Wheel Drive Cars

Historic period rally cars complying with GR R49:
H1 - Category 1 (pre 1968)
H2 - Category 2 (1968 - 1974)
H3 - Category 3 (1975 - 1981)
H4a - Category 4a (1982 - 1985)
H4b - Category 4b (1986 - 1990)
HK - Appendix K - All FIA homologated historic rally cars, with papers.

Reconnaissance Vehicle
No   Yes


Documentation Timing Group
TBA    A    B    C    D    
TBA    A    B    C    D    
Documentation timing groups:
A. If you are arriving in Clacton on Friday evening or early Saturday, and the competing crew will be taking the rally car through scrutineering, we suggest you select the option of early documentation and late afternoon scrutineering; once signed on you can complete the recce before scrutineering.
Documentation 10.00 - 11.00, Scrutineering 16.15 - 17.30.

B. If you are arriving in Clacton on Friday or early Saturday and your service crew will be taking the car through scrutineering, we suggest you select the option of late morning documentation after which the crew has the whole afternoon to complete two recce runs.
Documentation 11.00 - 12.00, Scrutineering 13.30 - 15.00.

C. If you are arriving in Clacton by lunchtime and /or live locally but don’t have a service crew to take the rally car to scrutineering we suggest you select the option of early afternoon documentation, followed by one recce run, scrutineering and another recce run.
Documentation 12.00 - 13.00, Scrutineering 15.00 - 16.15.
If you do not intend to do a recce (e.g. if your co-driver can only sign on late) then this is the group for you.

D. Clubman entries arriving by lunchtime are suggested to take their cars through scrutineering first, then documentation (both early afternoon) and then have two recce runs later in the day.
Scrutineering 12.00 - 13.30, Documentation 12.30 - 14.00.

Sponsor

Person who is at the event to contact (Service Crew Member etc.)

Entrant (If Applicable)

Event Programme - Text and photo to be included in official event programme
0 words. Words left: 35
JPG, PNG or GIF.

Media Information Form - Driver

Media Information Form - Co-driver

Insurance
Own Insurance  JELF - £25 
Extra due in pounds. If required by JELF
No    Yes If you are unable to comply with the Declaration.
If not using JELF.
If not using JELF.

Chelmsford Motor Club Membership
If you require Chelmsford Motor Club Membership – Tick below and then follow the link shown after you fill in this form to complete the CMC Membership Online Form
No   Yes
No   Yes

Fees

Standard Entry £545 64 m2 service area space (approximately 8m x 8m)
Extra service area space needed over 64 m2 - £10 per m2.

Any service Area requirements? Give driver names for any crews you will service together with.
Bank Payment 


Yes  No 
I would like Chelmsford Motor Club to contact me about other future events.


If you have provided a photo, be patient while it uploads.


I declare that:

1) I have been given the opportunity to read the General Regulations of Motorsport UK 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 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 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. The use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such part of this event as shall take place on roads as defined by the law.

3) I understand 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. (H10.1.6)

4) Any application form for a Licence which was signed by a person under the age of 18 years was countersigned by that person's parent/legal guardian/guarantor, whose full names and addresses have been given.

5) If I am the Parent/Guardian/Guarantor of the driver I understand that I shall have the right to be present during any procedure being carried out under the Supplementary Regulations issued for this event and the General Regulations of Motorsport UK. As the Parent/Guardian/Guarantor I confirm that I have acquainted myself and the minor with the Motorsport UK General Regulations, agree to pay any appropriate charges and fees pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those Regulations (and any subsequent alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Part 3, Appendix 1. Note: Where the Parent/Guardian/Guarantor is not present there must be a Guardian who must produce a written and signed authorisation to so act from the Parent/Guardian/Guarantor as appropriate.

6) I hereby agree to abide by the Motorsport UK Safeguarding Policy and Guidelines and the National Sporting Code of Conduct.

7) I have read and fully understood the regulations for Control of Drugs and Alcohol as contained in the Competitors' and Officials Yearbook Regulations H39, D35.1, G15.1.4 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 Motorsport UK. 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 Rule 5.7.2) I hereby confirm that I give such consent for the minor concerned to be so tested.

8) I understand that my personal data is being processed solely for the purposes of running this event and will be handled by the organisers in accordance with Motorsport UK data protection policy which can be found at www.motorsportuk.org/data-protection.

Indemnity: In consideration of the acceptance of this entry I agree that neither any one of or any combination of Motorsport UK 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.

Last Updated: December 18, 2018

Entry System available from Tony Michael