Entry Form

Entry Form
Update Entry
Entry List

Signing-on will be available here
from 1st November 2024 9:00
to 3rd December 2024 23:59

Marshal/Official Signing-on will be available here
from 4th October 2024 9:00
to 7th December 2024 12:00
Official/Marshal Signing-On
Media Signing-On

Phil Collings Memorial South Downs Stages ~ 7th December 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 ESE CS ESE - The AEMC/ASEMC Stage Rally Championship CS - The ACSMC Stage 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 ESE CS ESE - The AEMC/ASEMC Stage Rally Championship CS - The ACSMC Stage 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
Class TBA A B C D E Class A - Up to 1400cc Class B - 1401cc to 1600cc Class C - 1601cc to 2000cc Class D - Over 2000cc Class E - All 4 Wheel Drive
Award Eligibility Novice Novice - never won an award previously.
In Car Camera? No Yes
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 55?
Entrant (If Applicable)
Name
Email
Address
Postcode
Telephone
Motorsport UK Licence Number
Licence Type & Grade
Carbon Footprint
Distance to travel to the event Miles one way. If multiple vehicles are travelling for your entry, add up the total.
Media Information - please update your entry to add this later.

Sponsor
Title
Fees
Entry Entry - £280 (up to 29th November 2024 23:59)
Marshal Draw None £3 voluntary contribution
Payment Method Bank Payment Payment details will be displayed after the entry is submitted

Southsea 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