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Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Nationality
Choose... British English Welsh Scottish Irish Manx Afghani American Andorian Angolian Anguillan Antarctic Argentine Armenian Arubian Australian Austrian Bahameese Bahrainian Bangladeshi Barbadian Belarusian Belgian Belizean Bermuda Bhutanese Bolivian Brazilian British Bulgarian Cambodian Cameroonian Canadian Chilean Chinese Chinese Columbian Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Dominican Dutch Ecuadorean Egyptian Emirian Estonian Ethiopian Fijian Filipino Finnish French Georgian German Ghanaian Greek Guinean Guyanese Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Jamaican Japanese Jordanian Kazakhstani Kenyan Korean Kuwaiti Lebanese Lithunian Luxembourger Macau Malaysian Maldivan Mauritian Mayanmarese Mexican Monacan Mongolian Moroccan Namibian Nepalese New Zealander Nigerian Norwegian Omani Pakistani Panamanian Paraguayan Peruvian Polish Portugees Qatari Romanian Russian Saudi Arabian Senegalese Seychellois Singaporean Slovakian Somali South African Spanish Sri Lankan Swedish Swiss Taiwanese Tanzanian Thai Tunisian Turkish Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Yemeni Zambian Zimbabwean Latvian Age Under 18 18+
Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Nationality
Choose... British English Welsh Scottish Irish Manx Afghani American Andorian Angolian Anguillan Antarctic Argentine Armenian Arubian Australian Austrian Bahameese Bahrainian Bangladeshi Barbadian Belarusian Belgian Belizean Bermuda Bhutanese Bolivian Brazilian British Bulgarian Cambodian Cameroonian Canadian Chilean Chinese Chinese Columbian Congolese Costa Rican Croatian Cuban Cypriot Czech Danish Dominican Dutch Ecuadorean Egyptian Emirian Estonian Ethiopian Fijian Filipino Finnish French Georgian German Ghanaian Greek Guinean Guyanese Hungarian Icelander Indian Indonesian Iranian Iraqi Irish Israeli Italian Jamaican Japanese Jordanian Kazakhstani Kenyan Korean Kuwaiti Lebanese Lithunian Luxembourger Macau Malaysian Maldivan Mauritian Mayanmarese Mexican Monacan Mongolian Moroccan Namibian Nepalese New Zealander Nigerian Norwegian Omani Pakistani Panamanian Paraguayan Peruvian Polish Portugees Qatari Romanian Russian Saudi Arabian Senegalese Seychellois Singaporean Slovakian Somali South African Spanish Sri Lankan Swedish Swiss Taiwanese Tanzanian Thai Tunisian Turkish Ugandan Ukrainian Uruguayan Uzbekistani Venezuelan Vietnamese Yemeni Zambian Zimbabwean Latvian Age Under 18 18+
Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Age if under 18
Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Name
Address
Address
Address
Town
County
Postcode
Telephone (Day)
Telephone (Evening)
Mobile
Email It is important that this is correct.
Club
Age if under 18
Name
Relationship
Address
Mobile
At Event?
No
Yes
Name
Relationship
Address Including Postcode
Mobile
At Event?
No
Yes
Make
Model
Registration
CC
Colour
Year
Travel With? We would like to travel with:
Special Dietary Requirements Give name and requirements.
Entry Entry - £135.00 (up to 7th September 2025 23:59) Entry + 1 extra passenger - £200.00 (up to 7th September 2025 23:59) Entry + 2 extra passengers - £265.00 (up to 7th September 2025 23:59)
Payment Method
Bank Payment 
Cheque
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Bognor Regis 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 Bognor Regis MC to contact me about other future events.
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