Entry Form

Entry Form
Update Entry
Entry List

Signing-on will be available here
from 4th August 2024 18:00
to 21st September 2024 20:00
Competitor Signing-On

Marshal/Official Signing-on will be available here
from 4th August 2024 18:00
to 21st September 2024 23:00
Official/Marshal Signing-On
Media Signing-On

TITAN Rali Môn ~ 21st/22nd September 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.

Password To allow you to update your entry details, and to access the online signing-on form 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 ANWCC WBCC GEMC ANWCC - ANWCC Championships WBCC - WBCC Road Rally Championship GEMC - Glyn Edwards Memorial 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
Championships ANWCC WBCC GEMC ANWCC - ANWCC Championships WBCC - WBCC Road Rally Championship GEMC - Glyn Edwards Memorial 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
Class E S N E - CLASS 1: EXPERT Either crew member having finished in the top 10 on any Interclub, National B or Clubman Road Rally (except for Novice event), or higher status rally (within the last 5 years). S - CLASS 2: SEMI-EXPERT Crews not classified as Experts or Novices. N - CLASS 3: NOVICE Neither crew member having won no more than one class award on a Road Rally (i.e. 1st, 2nd or 3rd in class), no matter how long ago.
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?

Nominate a Marshal
Marshal
Marshal Mobile
Marshal Email
Insurance
Insurance Declaration If your insurance cover does not include competitive events do not proceed with your entry.
I confirm my RTA insurance includes cover for this competition/event on the public highway. No Yes If No, you will not be able to compete.
Insurance company name, address and telephone number
Policy No.
Fees
Entry Entry - £130 (up to 16th September 2024 18:00)
Payment Method Bank Payment Card (via PayPal) Payment details will be displayed after the entry is submitted

Caernarvonshire & Anglesey 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.
Contact Consent Yes No I would like Caernarvonshire & Anglesey MC to contact me about other future events.
It is compulsory that all competitors respect the regulations for Control of Drugs and Alcohol as contained in the General Regulations C1.1.7, D25.1.14, D35.1, G15.1.4, H38 and have also fully familiarised themselves 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 AntiDoping Rules which have been adopted by Motorsport UK. Further, signing as the parent or Guardian of a minor it will be deemed consent is given to the testing of that minor (UK Anti-Doping Rule 5.7.2).
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