Entry Form

Entry Form
Update Entry
Entry List

Challenger Stages ~ 20th October 2024

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 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).

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
Nationality
Competition Licence Number
Championships SW CS ESE CG HE SW - ASWMC Sealed Stage Rally Championship CS - The ACSMC Stage Rally Championship ESE - The AEMC/ASEMC Stage Rally Championship CG - Cotswold Motor Sport Group Championship HE - Heart of England Rally Championship
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
Co-driver
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Nationality
Competition Licence Number
Championships SW CS ESE CG HE SW - ASWMC Sealed Stage Rally Championship CS - The ACSMC Stage Rally Championship ESE - The AEMC/ASEMC Stage Rally Championship CG - Cotswold Motor Sport Group Championship HE - Heart of England Rally Championship
Age
Co-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 Co-driver
Name
Relationship
Address Including Postcode
Mobile
At Event? No Yes
Vehicle
Make
Model
Registration
CC
Colour
Year
Forced Induction? No Yes
Four Wheel Drive? No Yes
Tyres What make/model of tyres will you use?
Class TBA A B C D E F A - Up to 1400cc B - 1401 to 1600cc C - 1601 to 2000cc D - 2001cc and over E - All Four Wheel Drive F – Armed Forces
Award Eligibility BDCC Crew Channel Island Crew
Past Performance
Seeding Information Please detail the most recent relevant results. Event Year Status Overall Position Class Position.
Seeding Position Where would you expect to be seeded out of 80?

Sponsor
Title
Fees
Entry Early Entry - £265 (up to 28th September 2024 23:59) Early BDCC Discounted Entry Fee for both Crew Members belonging to BDCC on or before 13/1/2024 - £251.75 (up to 28th September 2024 23:59) Entry - £290 (up to 10th October 2024 23:59) BDCC Discounted Entry Fee for both Crew Members belonging to BDCC on or before 13/1/2024 - £275.50 (up to 10th October 2024 23:59)
Registrations of all vehicles camping
Bournemouth & District CC Membership - Driver Not Needed Membership - £15
Bournemouth & District CC Membership - Co-driver Not Needed Membership - £15
Payment Method Bank Payment Card (via PayPal) Payment details will be displayed after the entry is submitted

Bournemouth & District CC 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