63 Car Club Navigational Rally Entry Form
Held under the General of the Motorsport UK., (incorporating the provisions of the International Sporting Code of the F.I.A.).“I have read the supplementary regulations issued for this event and agree to be bound by them and by the General Regulations of the Motorsport UK. In consideration of the acceptance of this entry or of my being permitted to take part in this event, I agree to save harmless and keep indemnified the Motorsport UK., such person, persons or body as may be authorised by the Motorsport UK., to promote or organise this event and their respective officials, servants, representatives and agents from and against all actions, claims, costs, expenses and demands in respect of death or injury to myself, howsoever caused, arising out of or in connection with this entry or my taking part in this event, and notwithstanding that the same may have been contributed to or occasioned by the negligence of the said bodies, their officials, servants, representatives or agents”.Furthermore in respect of any parts of this event on ground where third party insurance “is not required by law” this agreement shall, in addition to the parties named above extend to all and any other competitor/s and their servants and agents and to all actions, claims, costs, expenses and demands in respect of any loss or damage to the person or property or myself, my passenger, or mechanic but shall extend to a competitor adjudged guilty of reckless driving under the said General Regulations.
Event *
Drivers Name
Drivers Address
Drivers Telephone Number
Drivers Email Address
Drivers Club
Drivers Competition Licence Number
Drivers age if under 18
Drivers Next of Kin Names
Drivers Next of Kin Contact Number
Passengers Name
Passengers Address
Passengers Phone Number
Passengers Email Address
Passengers Club
Passengers Competition Licence Number
Passengers age if under 18
Passengers Next of Kin Name
Passengers Next of Kin Contact Number
Category *
Required
Class entered
Clear selection
Car
Registration Number
Correspondence to be sent to
Clear selection
Using Event Insurance
Clear selection
If using own insurance, name of company
Insurers address
Submit
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