2019 WRGB National Rally - Internet Entry Form

2019 WRGB National Rally Internet Entry Form

 

Welcome to the 2019 WRGB National Rally Online Entry System.
3 - 6 October 2019.


Please fill out the fields below to submit an entry for the 2019 WRGB National Rally.  All fields marked red are mandatory and must be filled in.

Payment can be made in the following way:
- Online by credit or debit card.  Please note we are unable to accept Amercian Express.
- Please note that we are unable to accept payment by cheque or by bank transfer.

Please note that both the entry form and the confirmation of payment must be received by the Rally Office for the entry to be classed as complete.  Your entry will then be confirmed, on a first come, first served basis in accordance with Article 4.3 (Appendix 8) of the Regulations.

The closing date for entries is Tuesday 10th September 2019. 

If you have any queries please contact rallyoffice@walesrallygb.com or call the Events Team on 01753 765000. We look forward to welcoming you to the 2019 WRGB National Rally.

 

The WRGB National Rally is organised by The Royal Automobile Club Motor Sports Association Limited T/A Motorsport UK.

Held under the General Regulations of The Royal Automobile Club Motor Sports Association Limited (incorporating the provisions of the International Sporting Code of the FIA), the 2019 FIA World Rally Championship Sporting Regulations, the Supplementary Regulations for Wales Rally GB and the Supplementary Regulations for the WRGB National Rally.


Details of person making the entry
Email address for all communications (mandatory)
Name (mandatory)
Who should we send all documents and passes to?
Driver
Full Name (mandatory)
Address
Post Code
Telephone Number (Day)
Mobile Number
Competition Licence Number
Competition Licence Issuer
Email Address
Motor Club (Article 10)
Date of Birth
Nationality, as per passport (mandatory)
Driver's Parent or Guardian (under 18 only)
Name
Telephone Number
Relationship
Co-Driver
Full Name
Address
Post Code
Telephone Number (Day)
Mobile Number
Competition Licence Number
Competition Licence Issuer
Email Address
Motor Club (Article 10)
Date of Birth
Nationality, as per passport
Co-Driver's Parent or Guardian (under 18 only)
Name
Address (if different)
Post Code
Telephone Number
Relationship
Car Details
Make
Model
Colour
Registration Number
Engine Capacity
Year
Class Entered
Motorsport UK Log Book Number or HTP
Insurers
Insurer's Name
Person to be contacted in case of serious accident to Driver
Name
Telephone Number
Relationship
Person to be contacted in case of serious accident to Co-Driver
Name
Telephone Number
Relationship
Past Performance on Rallies
Please ensure you complete this section fully - seeding will ONLY be determined on the information provided
Event Name and ClubYearTypeSurfaceOverall PositionNo. of Starters
Fees
Entry Fee £
Total Money to be sent£
Payment Method and Details
Entrant (if applicable and not driver)
Name
Address
Post Code
Telephone Number
Nationality
Competition Licence Number
Competition Licence Issuer
Privacy and Permissions

We take your privacy seriously and will only use your personal information to administer your entry, including providing a public Entry List and sending you emails in connection with your entry. Some of your information will be passed on to the organisation providing results for the event.

We would also like to be allowed to contact you in the future to tell you about other events which we are running, including this event in future years. If you are happy to allow us to do this, please say so here.

Declaration

I declare that all the particulars on this form are accurate to the best of my knowledge and belief and that the use of the vehicle hereby entered will be covered by insurance as required by the law which is valid for such parts of the event that shall take place on the roads as defined by the law. 


I have read the Regulations for this event and agree to be bound by them.
The Royal Automobile Club Motor Sports Association Limited T/A Motorspork UK is committed to protecting the privacy and security of your personal information.

Any personally identifying information collected during the fulfilment of your involvement with WRGB will be dealt with in accordance with the General Data Protection Regulation (GDPR) and the Motorsport UK Privacy Statement.  This can be viewed on our websites www.motorsportuk.org & www.walesrallygb.com.

Web Entries System provided by rallies.info

Event Partners

Natural Resources Wales

FIA WRC Partners