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Ilkley Historic & Targa Rally 2018 Online Entry

Secretary: Karen Humphries

Address: 152 Green Lane

Town/Postcode:  Cookridge, LS16 7JQ

E-mail:  Karen.humphries@ringways.co.uk

Phone:  07802 833404

If you have not recieved an email confirming your entry within 7 days of sending your payment, or you have any other queries please contact the event secretary using the information above.

 If you use internet or telephone banking then you can pay directly into our account, by using these details:

 Internet or Telephone Banking

 Bank: Unity Trust Bank

 Sort | Account:  60-83-01, 20254098

 Reference: Please use Driver’s Name

 PayPal Link:  NOT USED

 Alternatively you can send a cheque payable to to the secretary using the address above



This event is held under the General Regulations of the Motor Sports Association (incorporating the International Sporting Code of the FIA) and the Supplementary Regulations.


Event ID:
Secretarys Name:
Secretarys Email:
DRIVERS DETAILS
Full Name:
Address:
Postcode:
Contact No:
Email Address:
Club:
IF UNDER 18 - PARENT/GUARDIAN
Name:
Address:
Tick this box if Drivers address is same as Parents
Postcode:
Contact No:
NAVIGATORS DETAILS
Full Name:
Address:
Postcode:
Contact No:
Email Address:
Club:
IF UNDER 18 - PARENT/GUARDIAN
Name:
Address:
Tick this box if Navigators address is same as Parents
Postcode:
Contact No:
VEHICLE DETAILS
Make:
Model:
Capacity (CC):
Registration:
Historic Waiver Request:
The event is open to Pre- Historic (pre 1960), Historic cars (1960-1967 inclusive), Post Historic cars (1968-1974 inclusive), Cat 3 cars (1975-81 inclusive), Cat 4 cars (1982-1985 inclusive) and Targa cars complying with the relevant requirements of the MSA Blue Book, ie, Section J, and in addition, Sections R18 &19. These categories will be subdivided into classes by capacity at either 1400cc or 1500cc:
Please select class:
DRIVER EMERGENCY CONTACT
Full Name:
Contact No:
Address:
Tick this box if Drivers address is same as Emergency Contact
Postcode:
Relationship:
NAVIGATOR EMERGENCY CONTACT
Full Name:
Contact No:
Address:
Tick this box if Navigators address is same as Emergency Contact
Postcode:
Relationship:
All Other Info
Seed No Request:
Sponsor:
Do you have your own insurance for the event?:
If Yes, enter Insurer Details:
PAYMENT
Entry Fee:
Insurance:
Club Membership:
Bacon Sandwich at Start:
 

I agree to IDMC & mymotorsport (entry provider) terms and conditions and understand that my information will be held electronically on our system.

DECLARATION OF INDEMNITY: ‘I declare that I have been given the opportunity to read the General Regulations of the Motor Sports Association and, if any, the Supplementary Regulations for this event and agree to be bound by them. I declare that I am physically and mentally fit to take part in the event and I am competent to do so. I acknowledge that I understand the nature and type of the competition and the potential risk inherent with motor sport and agree to accept that risk. Further, I understand that all persons having any connection with the promotion and/or organisation and/or conduct of the event are insured against loss or injury caused by their negligence.’

Held under the General Regulations of The Motor Sports Association (incorporating the provisions of the International Sporting Code of the FIA) and Supplementary Regulations.

THIS ENTRY MUST BE SUBMITTED BY A PARENT/GUARDIAN FOR ANY PERSONS ABOVE WHO ARE UNDER 18

‘I understand that I shall have the right to be present during any procedure carried out under the Supplementary Regulations issued for this event and the General regulations of the MSA. I confirm that I have acquainted myself with the MSA General Regulations, agree to pay any appropriate charges and fess pursuant to those Regulations (to include any appendices thereto) and hereby agree to be bound by those Regulations and submit myself without reserve to the consequences resulting from those Regulations (and any subsequent alteration thereof). Further, I agree to pay as liquidated damages any fines imposed upon me up to the maxima set out in Section Z.’

By ticking the checkbox below you are in affect signing this document to confirm you accept the above conditons. If you are under the age of 18 the parent/person with parental responsibility must accept the condition of entry to this event and tick the box below.

Please tick the box to confirm you understand and agree with the above.