Entry Form

Entry Form
Update Entry
Entry List

Cotswold Historic Rally ~ 30th June 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
Licence ASN Issuer
Licence Type & Grade
Championships H H - Motorsport News HRCR Clubmans Road 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
Navigator
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
Licence ASN Issuer
Licence Type & Grade
Championships H H - Motorsport News HRCR Clubmans Road Rally Championship
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
Waiver Needed for? Historic Road Rally Cars compliant with R19 may be granted waivers for these R18.2 rules at Motorsport UK discretion: Cylinders > 4. Carburetter chokes > 2. More than 1 camshaft per bank. Turbocharger.
Make & Model of Tripmeter fitted to car.
Class TBA M1 M2 M3 M4 M5 E1 E2 E3 E4 E5 N1 N2 N3 N4 N5 C1 M1: Masters in Pre-68 Category 1 cars M2: Masters in 1968-74 Category 2 cars M3: Masters in 1975-81 Category 3 cars M4: Masters in 1982-85 Category 4 cars M5: Masters in 1986-90 Category 4B cars E1: Experts in Pre-68 Category 1 cars E2: Experts in 1968-74 Category 2 cars E3: Experts in 1975-81 Category 3 cars E4: Experts in1982-85 Category 4 cars E5: Experts in 1986-90 Category 4B cars N1: Novices in Pre-68 Category 1 cars N2: Novices in 1968-74 Category 2 cars N3: Novices in 1975-81 Category 3 cars N4: Novices in 1982-85 Category 4 cars N5: Novices in 1986-90 Category 4B cars C1: Clubman Class Master: A crew where any member has had four or more finishes in the top 10 places overall of a National B, Interclub or higher status Historic Road Rally in the role in which they have entered, in the last 4 years. Expert: A crew which does not qualify as a master, or novice in the role in which they have entered. Novice: A crew in which no member has had four or more finishes in the top 25 places overall of a National B, Interclub or higher status Historic Road Rally in the role in which they have entered, in the last 4 years.
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 75?
Carbon Footprint
Distance to travel to the event Miles one way. If multiple vehicles are travelling for your entry, add up the total.

Special Dietary Requirements Give name and requirements.
Insurance
Insurance Own Insurance REIS - £32
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
Great Western Air Ambulance and Witshire Air Ambulance Donation None £5 (a donation is optional)
Entry Entry - £190 (up to 16th June 2024 19:00)
Tavern MC Membership - Driver Not Needed Membership - £7.50
Tavern MC Membership - Navigator Not Needed Membership - £7.50
Payment Method Bank Payment Cheque Payment details will be displayed after the entry is submitted

Tavern 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