Entry Form

Donington Winterseries ~ 2020-2021

Entry Form

Please enter the event(s) using this form, and then pay by Bank Transfer 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).

Password To allow you to update your entry details later.
Driver
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email
Club
Competition Licence Number
Championships WS WS - Donington Winter Series
Age TBA 14 15 16 17 18+
Full Driving Licence No Yes
Driver's Parent or Guardian (under 18 only)
Name
Relationship
Address
Mobile
At Event? No Yes
Driver - Persons to contact in case of serious accident to Driver
Name
Relationship
Address
Mobile
Passenger (Optional for Autosolo)
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email
Club
Competition Licence Number
Age TBA 12 13 14 15 16 17 18+
Full Driving Licence No Yes
Passenger's Parent or Guardian (under 18 only)
Name
Relationship
Address
Mobile
At Event? No Yes
Persons to contact in case of serious accident to Passenger
Name
Relationship
Address
Mobile
Competition Car
Make
Model
Registration
CC
Forced Induction? No Yes
Class TBA A B C D E F PCA A) Cars up to and including 1000cc B) Cars 1001cc up to 1400cc C) Cars 1401cc up to 1600cc D) Cars 1601cc up to 2000cc E) Cars 2001cc and above F) Advantage class :- any car fitted with one or more of the following: 1) Limited Slip Differential (LSD) or any other Torque Biasing Device. 2) Shock Absorbers with Remote Reservoirs. 3) Moulded slick/Semi-slick tyres where either or both of the following applies: a) The original manufactured tread does not connect to both sidewalls. b) The original manufactured tread does not complete the circumference. 4) Tyres manufactured for wet weather competition use. OR the car is a Kit Car (this includes all Caterham & Westfield variants) PCA) Production Car Autotest
Car Type TBA Touring Closed Open
Car share with?
Any Comments
Fees
Events Round 4 - Saturday 20th February 2021 - £40 Round 5 - Saturday 6th March 2021 - £40
Loughborough CC and Mid-Derbyshire MC Series Membership No Membership - £1 And select WS as championship.
Payment Method Bank Payment Cash Cheque

Loughborough CC and Mid-Derbyshire MC comply 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.

You must be a member of LoCC, MDMC or an Invited Club. If your club is not listed in the event regs, please ask - we can easily invite your club, subject to a maximum of 15 invited clubs.

Entry System via MTC1.uk